Copy of Review Rekam Medis Ri

NO IDENTITAS 1 2 3
No RM 177164 177165 174926
G3POA2
HAMIL
DENGUE
Diagnosa ATEM NCB SMK
FEVER
DENGAN
PTM
Ruangan 130 RB 207
DPJP DR IRSAN DR LILLY DR ETRA
MRS 1/1/2020 1/1/2020 1/2/2020

KRS 1/3/2020 1/3/2020 1/4/2020
Kembali ke File
NO JENIS FORMULIR NO RM
1 SURAT PERMINTAAN DIRAWAT RMI 01 1 1
RINGKASAN MASUK DAN KELUAR

2 RM03 0 0 0
PASIEN
FORMULIR PEMBERIAN INFORMASI

DAN PERSETUJUAN UMUM
3 RMI 04 1 1
( GENERAL CONSENT ) UNTUK
MENERIMA PELAYANAN KESEHATAN
MR./RI009
4 TATA LAKSAN PASIEN RAWAT INAP 1 1
/V/08
5 SURAT PENYATAAN 0 0
EDUKASI PASIEN DAN KELUARGA

6 RMI 05 1 1
INTEGRASI
7 CATATAN PEMINDAHAN PASIEN RMI 06 1 1
RM/RJ.RI.
8 FORMULIR KONSUL
032/I/II
PEMBERIAN INFORMASI DAN

PERNYATAAN
9 PERSETUJUAN/PENOLAKAN RMI 57 1
OPERASI/TINDAKAN
MEDIS/TINDAKAN DIAGNOSTIK
PERSETUJUAN TRANSFUSI DARAH

10 RMI 32 1
DAN PRODUK DARAH
PERSETUJUAN TINDAKAN DAN

11
PROSEDUR RESIKO TINGGI
PEMANTAUAN PROSEDUR
12 RMI 70
PEMBERIAN TRANSFUSI DARAH
PERSETUJUAN ANESTESI DAN

13
SEDATIF
14 FORMULIR PERSIAPAN PRE OPERASI RMI 39 1
CHECK LIST PROSEDUR

15 KESELAMATAN PASIEN DI KAMAR RMI 59 1
OPERASI
16 ASSESMENT PRA INDUKSI RMI 55 1
17 KARTU ANASTESI RM 36 1
18 ASESMEN PRA ANESTESI MR 1
DOKUMENTASI PEMBERIAN
19 INFORMASI TINDAKAN ANESTESI RM 142 0
SPINAL/ EPIDURAL
20 INFORMASI TINDAKAN ANESTESI
UMUM
ASUHAN KEPERAWATAN PERI

21 RMI 62 1
OPERATIF
22 ASESMEN PRA BEDAH MR 1
FORMULIR PENANDAAN LOKASI

23 RMI 56 1
OPERASI
24 LAPORAN PEMBEDAHAN RMI 35 1
PENGKAJIAN AWAL MEDIS DAN

25 KEPERAWATAN PASIEN OBSTETRI RMI 08 1 1 1
DAN GINEKOLOGI
26 PENGKAJIAN PASIEN TERMINAL
DPJP ( DOKTER PENANGGUNG

27 JAWAB PASIEN ) DAN MANAJER RMI 33 0 1
KASUS
CATATAN PERKEMBANGAN PASIEN

28 RMI 17 1 0 0
TERINTEGRASI
29 CATATAN HARIAN PERAWAT RMI 16 1 1
PENGKAJIAN RESIKO JATUH

30 RMI 11 0 0
DEWASA
PENILAIAN STATUS FUNGSIONAL

31 (BERDASARKAN PENILAIAN BARTHEL RMI 66 0
INDEX)
SKOR NORTON (PERHITUNGAN SKOR

32 RMI34 0
NORTON )
33 OBSERVASI MANAJEMEN NYERI RMI 53 0 1
34 MONITOR PASIEN RAWAT INAP RMI 48 1 1 1
35 KURVA HARIAN PASIEN RAWAT INAP 1 1 1
36 FORMULIR ASUHAN GIZI RM 33
37 FORMULIR ASUHAN KEFARMASIAN 1
DAFTAR HASIL LABORATURIUM

38
UNTUK PASIEN DHF
LEMBARAN OBSERVASI PASIEN

39 TINDAKAN PEMBEDAHAN DENGAN
MENGUNAKAN LOKAL ANASTESI
40 RUJUKAN EKSTERNAL RMI 18
KUESIONER KEPUASAN PELANGGAN

41
PASIEN RAWAT INAP
LEMBARAN PEMANTAUAN
42
HEMODELISA
SERTIFIKAT MEDIS PENYEBAB

43
KEMATIAN
44 PARTOGRAF
PENOLAKAN PELAYANAN RAWAT

45 RMI 58
INAP
PERENCANAAN PULANG
46 RMI 15 0 0 1
( DISCHARGE PLANNING )
RM/RI.026
47 SURAT PASIEN PULANG 1 1 0
/XII/10
RESUME PULANG PASIEN RAWAT
48 RMI 19 0 1 1
INAP
Terisi 22 5 14
Tidak Terisi 7 4 7
Kelengkapan (prosentase) 29.0 9.0 21.0
Kembali ke Ruang File 2 x 24 jam
Yang Mereviaw
TERISI
TIDAK TERISI
JUMLAH
KEPATUHAN
4 5 6 7 8 9 10 11
177178 177219 177252 177177 177251 177272 177239 177215
G2P1PO
G2P1AO H G2P1PO
G3P2AO HML ± 41
38N,G DGM HML 38MG
NCB SMK NCB SMK NCB SMK H.39-40 MG MGG DG NCB SMK
BSC 1X + DG ALIGO +
DG BSC 2X KPD + POT
KPD KPD
MATUR
RB RB RB 130 136 130 RB 135
DR LILLY DR LILLY DR LILLY DR IRSAN DR IRSAN DR IRSAN DR LILLY DR IRSAN
1/2/2020 1/2/2020 1/3/2020 1/2/2020 1/3/2020 1/4/2020 1/3/2020 1/2/2020

1/3/2020 1/4/2020 1/5/2020 1/3/2020 1/5/2020 1/6/2020 1/5/2020 1/4/2020
1 1 1 1 1
0 1 1 0 0 1 0 0
1 1 1 1
1 1 1 1
0 0 1 1
0 0 1 0
1 1 1 1
1 1 1 1
1 1 1 1
0 0 1 0
1 1 1 1
1 1 1 0
0 1 1 0
0 1 1 0
1 1 1 1
1 1 1 1
0 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 0 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
9 10 10 21 25 28 8 23
1 0 0 8 4 1 3 7
10.0 10.0 10.0 29.0 29.0 29.0 11.0 30.0
12 13 14 15 16 17 18 19
177218 177273 177278 177279 177019 177253 170444 177224
G3P1A1
G2P1PO
G1P0P0 H HML ± 9
HAMIL 39
40-41 MG MINGGU ULKUS
-40 MG VAGINAL
NCB SMK DENGAN NCB SMK DENGAN PEDIS VERTIGO
DENGAN BLEEDING
KPD + ABORTUS SINISTRA
GAWAT
OLIGO INCOMPLE
JANIN
TE
130 RB 130 RB 135 130 313 203

DR DR
DR IRSAN DR LILLY DR IRSAN DR LILLY DR WISNU DR IRSAN
SAMOEL PARAMITA
1/2/2020 1/4/2020 1/4/2020 1/4/2020 1/6/2020 1/3/2020 1/3/2020 1/3/2020
1/4/2020 1/6/2020 1/6/2020 1/6/2020 1/6/2020 1/4/2020 1/5/2020 1/5/2020
1 1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 0 1
1 1 1 0 0 0
1 1 1 1 1 1
1 1 1 1 1
1 1 1 0 1
1
1 0 0
1 0
1 1 1
0 1 1 1 0
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 0
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 1 0 0 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
27 10 27 10 22 19 22 19
2 0 2 0 1 4 7 1
29.0 10.0 29.0 10.0 23.0 23.0 29.0 20.0
20 21 22 23 24 25 26 27
167329 169212 177255 177226 155227 164815 176809 177166
GEA + G2POA1
G2P1A1 H
NYERI STT HAMIL
BACTERIAL 28/29
PERUT DYSPEPSIA GED KLL THORAX ATEREM
INFECTION DENGAN
BAGIAN ANTERIOS DENGAN
GERD
BAWAH KPD
304 305 203 302 206 305 303 130
DR ETRA DR ETRA DR ETRA DR LILLY DR SAMOEL DR ETRA DR SAMOEL DR IRSAN
1/2/2020 1/2/2020 1/3/2020 1/3/2020 1/3/2020 1/4/2020 1/3/2020 1/1/2020

1/4/2020 1/6/2020 1/5/2020 1/5/2020 1/6/2020 1/6/2020 1/5/2020 1/3/2020
0 1 1 1 1 1 1 1
0 1 0 1 0 0 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 0 0 1 0 1 1
0 1 1 1 1 1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
0 1
1 1
0 0 0 0 0 0 1 1
0 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 1 0 1
0 0
1 1 1
1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 1 0 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
7 18 13 14 16 13 28 28
10 2 7 3 4 3 1 0
17.0 20.0 20.0 17.0 20.0 16.0 29.0 28.0
28 29 30 31 32 33 34 35
104614 177333 161855 177345 177168 175939 177216 177346
G3P2AO P3AO
NYERI
HML 8 MG DENGAN
TULANG OBS CHEST
DENGAN NCB SMK KELENJAR TB PARU NCB SMK NCB SMK
EKOR E.C PAIN + HHD
ABORTUS BARTOLIDI
JATUH
INKOMPLET ABSES
130 RB 130 311 202 207 RB RB
DR IRSAN DR LILLY DR WISNU DR I MADE DR ETRA DR AULIA DR LILLY DR LILLY
1/7/2020 1/6/2020 1/6/2020 1/6/2020 1/1/2020 1/3/2020 1/2/2020 1/6/2020

1/7/2020 1/8/2020 1/7/2020 1/7/2020 1/4/2020 1/6/2020 1/4/2020 1/8/2020
1 1 1 1 1
1 1 0 0 0 0 0 1
1 1 1 1 1
1 1 1 1 1
1 1 0 1 1
0 1 0 0 0
1 1 1 1
1 1
1 1 0
1
1
1 1
1
1 1
0 1
1 1
1 1
1 1 1 0 0 1 1 0
0 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 0 1
0 1
1 1
0 1
1 1 0 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1
1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
21 10 23 10 16 19 9 9
3 0 6 7 6 2 1 1
24.0 10.0 29.0 17.0 22.0 21.0 10.0 10.0
36 37 38 39 40 41 42 43
177200 177297 177102 177300 177211 176668 177357 177198
G2P1AO
MIOMA DAN G3P2A1 H HML ± 39
ANEMIA DENGUE KISTA 38 MINGGU MINGGU
NCB SMK VERTIGO
PRO + FEVER OVARIUM DENGAN DENGAN
TRANSFUSI LETSU BKS SC +
KPD
RB 130 130 203 206 130 130 130

DR
DR LILLY DR WISNU DR WISNU DR BETTY DR WISNU DR IRSAN DR WISNU
BAMBANG
1/2/2020 1/5/2020 12/31/2019 1/5/2020 1/2/2020 1/2/2020 1/6/2020 1/2/2020
1/4/2020 1/7/2020 1/6/2020 1/7/2020 1/4/2020 1/5/2020 1/8/2020 1/4/2020
1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 0 1
1 1 1 1 1 1 0
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
0 1 1 0 1 1 1
1 0 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
0 1 1 0 1 1 1
1
0 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 1 0 0 1 1 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
9 25 27 18 16 28 26 27
1 3 2 1 2 1 3 2
10.0 28.0 29.0 19.0 18.0 29.0 29.0 29.0
44 45 46 47 48 49 50 51
177236 177259 177063 177308 176186 175397 177431 129097
G2 P1AO
FR TUMOR HML 38 SC KPD +
DENGUE
DISATRIA CLAVICUL ALI NCB SMK MINGGU APP STERIL +
FEVER
A DX DIEXTRAK DENGAN BSC 2X
MYOPI - 8
207 206 207 RB 135 206 207 130

DR DR DR DR
DR LILLY DR WISNU DR ETRA DR BONA
BAMBANG SAMOEL SAMOEL SAMOEL
1/3/2020 1/4/2020 1/5/2020 1/6/2020 1/6/2020 1/5/2020 1/7/2020 1/6/2020
1/6/2020 1/4/2020 1/7/2020 1/8/2020 1/8/2020 1/8/2020 1/10/2020 1/8/2020
1 1 1 1 1 1 1
1 0 1 0 0 0 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 0 1 1 1 1 1
1 0 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
0 1 1
0 1 0 1
1 1 1 1
1 1 0 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
0 1 1 1
1 1 1 1
1 0 1 1 1 0 1
1 1 1 1 1
1 0 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 0 1 1 0 0 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 0 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
20 9 29 8 28 26 17 28
1 8 3 2 2 5 3 0
21.0 17.0 32.0 10.0 30.0 31.0 20.0 28.0
52 53 54 55 56 57 58 59
176630 177361 177267 162401 139066 177468 177474 177451
GIPOAO
G3P0AO G3P4A0
HAMIL 38-
12-16 MG H.39 MG OBSERVA
39 MG
STT NCB SMK ABORTUS DG B.SC SI FABRIS NCB SMK NCB SMK
DENGAN
INCOMPLE 1X +KPD HARI KE-3
KPD PO
TE 12 JAM
JAM
203 RB 130 130 312 RB 136 RB

DR
DR LILLY DR WISNU DR WISNU DR ETRA DR LILLY DR WISNU DR LILLY
SAMOEL
1/8/2020 1/6/2020 1/4/2020 1/2/2020 1/3/2020 1/8/2020 1/8/2020 1/8/2020
1/9/2020 1/8/2020 1/5/2020 1/4/2020 1/6/2020 1/10/2020 1/10/2020 1/10/2020
1 1 0 1 1
1 0 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 0
0 0 1 1 1
0 0 1 1 1
1 1 1 1
1 1 1 1
0
0 1 1
0 1 1
1 1 1
0 0 0
1 0 1
1 1 1 0
1 1 1 1
1 1 1 1
0 1 1
1 1 1 1
1 1 1 1 0 1 1 0
0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 1 0 0 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
24 7 19 26 17 9 26 8
8 3 3 3 3 1 4 2
32.0 10.0 22.0 29.0 20.0 10.0 30.0 10.0
60 61 62 63 64 65 66 67
131137 158926 177538 177480 177036 175397 177479 177358
G1POAO
HML
DENGUE ASMA APDITIS FEBRIS +
NCB SMK KPD ATERM NCB SMK
FEVER BRONKIAL KRONIS BRONKITIS
DENGAN
MYOPIA
307 203 RB 130 130 206 303 RB

DR DR
DR LILLY DR LILLY DR IRSAN DR WISNU DR ETRA DR LILLY
RAHMAT SAMOEL
1/9/2020 1/5/2020 1/10/2020 1/9/2020 1/7/2020 1/5/2020 1/9/2020 1/6/2020
1/11/2020 1/9/2020 1/12/2020 1/11/2020 1/9/2020 1/8/2020 1/10/2020 1/8/2020
1 1 1 1 1 1
1 1 1 1 0 0 1 0
1 1 1 1 1 1
1 1 1 1 1 1
1 0 1 1 1 0
1 1 1 1 1 1
1 1 1 0 1 1
1 1 1
1 1 1
1 1 0
1 1 0
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 0 0 1 1 0 0 0
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 0 1
1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0
1 0 0 0 0 1 0 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
18 17 8 27 26 26 16 5
0 3 2 2 3 5 3 5
18.0 20.0 10.0 29.0 29.0 31.0 19.0 10.0
68 69 70 71 72 73 74 75
176417 177470 175811 177118 177434 177238 177180 176643
G2P1AO H
G4P2A1 G2P1AO
38 MAMAE
HAMIL 30 G2P1AO HAMIL
FEBRIS + MINGGU ABSES AN PARATIPOI
MINGGU SC DG NCB SMK ATERM
VOMITUS DENGAN AXILLA D FEVER
DENGAN LETSU DENGAN
BSC 1X + DEXTRA
BSC 2X BEKAS SC
KPD
135 207 136 203 207 136 RB 138

DR
DR BONA DR ETRA DR WISNU DR ETRA DR WISNU DR LILLY DR IRSAN
SAMOEL
1/6/2020 1/8/2020 1/10/2020 1/10/2020 1/7/2020 1/3/2020 1/2/2020 1/8/2020
1/8/2020 1/10/2020 1/12/2020 1/12/2020 1/9/2020 1/6/2020 1/4/2020 1/10/2020
1 1 1 1 1 1 1
1 0 0 1 0 1 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 0 1 1 1 1 0
0 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
0 1 1 1 1
1 1 1 1
1 1 0 1 1
1 1 1 1 1
1 0 0 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 0 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 1 1 0 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
25 17 27 30 18 28 10 26
3 3 3 2 2 1 0 3
28.0 20.0 30.0 32.0 20.0 29.0 10.0 29.0
76 77 78 79 80 81 82 83
177254 177446 177260 177338 177445 177332 152008 177384
G2P1AO GIP0A0 H
ASMA G1POAO CKD ON
H.38 VIRAL 36 MINGGU
BRONKHIA H.3 HD +
NCB SMK MINGGU INFECTIO AN KPD + NCB SMK
LE EX MINGGU MENINGITI
BSC + KPD N GAGAL
ACUTE KBT S TB
12 JAM INDUKSI
203 RB 130 136 207 135 304 RB
DR ENDAH DR LILLY DR BONA DR WISNU DR ETRA DR WISNU DR ENY DR LILLY
1/3/2020 1/8/2020 1/4/2020 1/6/2020 1/8/2020 1/6/2020 1/2/2020 1/7/2020

1/6/2020 1/11/2020 1/6/2020 1/8/2020 1/9/2020 1/8/2020 1/8/2020 1/9/2020
1 1 1 1 1 1
0 1 1 0 0 1 0 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1 1
1
0 1 0
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 0 1 1 0 0 0 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1
0 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 0 0 1 0 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
17 9 27 27 18 27 16 8
3 1 2 2 2 3 5 2
20.0 10.0 29.0 29.0 20.0 30.0 21.0 10.0
84 85 86 87 88 89 90 91
177395 177351 162021 177462 152432 167088 177467 177261
G2P1AO
OBS DYSPEPSIA H.38
TYPHOID KEJANG
NCB SMK FEBRIS HEG + ISK + GEA OBS MINGGU NCB SMK
FEVER DEMAM
HARI KE 3 FEBRIS FEB + B.SC
1X
312 RB 302 305 311 303 135 RB
DR ETRA DR LILLY DR LILLY DR ETRA DR ETRA DR ETRA DR WISNU DR LILLY
1/7/2020 1/6/2020 1/4/2020 1/8/2020 1/9/2020 1/6/2020 1/8/2020 1/4/2020

1/10/2020 1/8/2020 1/6/2020 1/11/2020 1/11/2020 1/9/1900 1/10/2020 1/6/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 0 1 1 1 0
1 1 1 0 1 1
1 1 1 1 1 1
1
0
1
1
0
0 1 0 0 0 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1
1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 1 0 1 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
15 9 15 15 14 18 26 8
1 1 2 1 4 1 4 2
16.0 10.0 17.0 16.0 18.0 19.0 30.0 10.0
92 93 94 95 96 97 98 99
177372 177546 177534 177298 177515 177262 177366 177481
HIPERGLIK G2POA1
EMI + HAMIL 39
DEMAM DANGUE
NCB SMK NCB SMK VERTIGO BACTERIA MINGGU NCB SMK
TYPOID FEVER
L KPD +
INFECTUE SUSP CPD
RB 207 RB 304 313 203 130 RB

DR
DR LILLY DR BUDI DR LILLY DR LILLY DR ETRA DR WISNU DR LILLY
BAMBANG
1/7/2020 1/10/2020 1/10/2020 1/7/2020 1/9/2020 1/4/2020 1/7/2020 1/9/2020
1/9/2020 1/12/2020 1/12/2020 1/11/2020 1/11/2020 1/8/2020 1/9/2020 1/11/2020
1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1
1 1 1 0 1
1 0 1 0 1
1 1 1 0 1
1 1 1 1
1
0
1
0
1
0 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
8 18 9 16 16 16 26 9
2 1 1 1 0 4 3 1
10.0 19.0 10.0 17.0 16.0 20.0 29.0 10.0
100 101 102 103 104 105 106 107
177475 177590 134143 142597 177466 177545 177338 177616
G2P1A0
HAMIL EFFUSI DEMAM G1POAO
ATERM PLEURA + TYPUS + H.
NCB SMK NCB SMK GEA NCB SMK
DENGAN DM + HT + G1POAO H 3MINGGU
BEKAS SC FEBRIS 29 MINGGU KET
1X
RB RB 313 130 303 303 136 RB
DR LILLY DR LILLY DR ETRA DR BONA DR ENDAH DR ETRA DR WISNU DR LILLY
1/8/2020 1/11/2020 1/9/2020 1/8/2020 1/8/2020 1/11/2020 1/6/2020 1/12/2020

1/10/2020 1/12/2020 1/10/2020 1/10/2020 1/11/2020 1/12/2020 1/8/2020 1/14/2020
1 1 1 1 1
1 1 0 1 1 1 0 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 0 1
1 0 1 1 1
1 1
0 1
0 0
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 0 1 0 0 1 0
1 1 0 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
9 8 13 24 17 13 26 8
1 2 6 5 3 3 3 2
10.0 10.0 19.0 29.0 20.0 16.0 29.0 10.0
108 109 110 111 112 113 114 115
177551 177584 177595 177627 172760 177657 177648 177650
G3P2AO G4P2A1
H 13 HAMIL 41
G1POAO H MINGGU STT AN MINGGU
NCB SMK 39 - 40 NCB SMK DENGAN PEDIS FEBRIS DENGAN NCB SMK
INPARTUS ABORTUS SINISTRA POST
INKOMPLI MATUR +
T KPD
RB 130 RB 130 304 206 135 RB

DR
DR LILLY BIDAN DR LILLY DR WISNU DR LILLY DR WISNU DR LILLY
SAMOEL
1/10/2020 1/11/2020 1/11/2020 1/13/2020 1/10/2020 1/13/2020 1/13/2020 1/13/2020
1/12/2020 1/12/2020 1/13/2020 1/13/2020 1/12/2020 1/15/2020 1/15/2020 1/15/2020
1 1 1 1 1
1 1 1 0 1 1 1 0
1 1 1 1 1
1 1 1 1 1
1 0 1 1 1
1 0 1 1 0
1 1 1 1
1 1 1 1
1 1 1 1
0 0
1 1
0 1 1
1 1
1 1 1
1 1 1
1 1 1
0 1
1 1
0 1 1 1 1 1 0
1 1 0 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 0
0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 0 0 1 0 0
1 1 1 1 0 1 0 0
1 1 0 1 1 1 1 1
9 15 8 17 25 14 25 6
1 1 2 7 5 2 5 4
10.0 16.0 10.0 24.0 30.0 16.0 30.0 10.0
116 117 118 119 120 121 122 123
177173 177571 177615 177599 177383 175136 177529 177623
G3P2AO H
G2P1AO H
42 MINGGU DIARE
38 MINGGU
SUSP D/ ACUT + OBS DIARE
NCB SMK SC KPD DG BSC 1X
STROKE OLIGOHID COLIC VOMITUS KRONIK
+ KPD 18
RAMNION ABDOMEN
JAM
KE 3
203 RB 136 207 130 135 312 203

DR
DR LILLY DR IRSAN DR ETRA DR IRSAN DR WISNU DR ETRA DR ETRA
PARAMITA
1/1/2020 1/11/2020 1/12/2020 1/11/2020 1/7/2020 1/10/2020 1/10/2020 1/13/2020
1/4/2020 1/19/2020 1/14/2020 1/14/2020 1/9/2020 1/13/2020 1/12/2020 1/14/2020
1 1 1 1 1 1 1
1 1 1 1 0 1 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 0
0 1 1 1 1 0 1
1 1 1 1 1 1 1
1 1 1
1 1 1
0 0 0
1 1 1
1 1 1
1 1 0
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 0 0 1 1 0 0
1 1 1 1 1 1
1 1 1 1 1 1 0 0
1 1 1 1 1 1 0 1
1 1 1 1 1 0 0
1 1 0
1 1 1 0
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 0 1
1 0 0 1 0 0 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
21 9 26 20 26 27 11 16
1 1 3 1 3 3 8 6
22.0 10.0 29.0 21.0 29.0 30.0 19.0 22.0
124 125 126 127 128 129 130 131
166463 177407 177367 177360 177481 177453 177205 152601
G3P2A0 H GEA &

PROKOGE 37 MINGGU PHEUMONI VOMITUS,D
NCB SMK NCB SMK NCB SMK NCB SMK
FEVER DENGAN A EHIDRASI
PEB + B SC SEDANG
206 RB RB 130 RB 202 RB 310
D LILLY DR LILLY DR LILLY DR WISNU DR LILLY DR ENDAH DR LILLY DR ETRA
1/11/2020 1/7/2020 1/7/2020 1/6/2020 1/9/2020 1/8/2020 1/2/2020 1/3/2020

1/15/2020 1/9/2020 1/9/2020 1/8/2020 1/11/2020 1/11/2020 1/4/2020 1/4/2020
1 0 1 1
1 0 1 0 1 1 0 0
1 1 1 1
1 0 1 1
1 1 1 1
1 1 1 0
1 1 1 1
1
0
1
1
0
0 1 1 1 1 0 0 0
0 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 1 0
1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 0 0 1 1 0
1 0 1 1 0 1 1 0
1 1 1 1 1 1 1 1
15 6 9 22 6 20 8 11
2 4 1 8 2 2 2 5
17.0 10.0 10.0 30.0 8.0 22.0 10.0 16.0
132 133 134 135 136 137 138 139
132313 177531 177463 177541 177456 177550 177164 177475
G2P1AO H
G1POAO H
38 -39 SUSP G3P2AO H INFEKSI
39 MINGGU
MINGGU NCB SMK THYPOID + NCB SMK 39 MINGGU LUKA NCB SMK
DENGAN
BSC 1X + HT BSC 2X OPERASI
CPD + KPD
KPD
136 RB 205 RB 135 130 130 RB

DR
DR WISNU DR LILLY DR ETRA DR LILLY DR IRSAN DR WISNU DR LILLY
SAMOEL
1/11/2020 1/10/2020 1/8/2020 1/10/2020 1/10/2020 1/10/2020 1/8/2020 1/8/2020
1/13/2020 1/13/2020 1/11/2020 1/12/2020 1/12/2020 1/12/2020 1/15/2020 1/10/2020
1 1 1 1 1
1 0 0 0 0 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 1 1 1
1 1 1 1 1
1 1 1 1 0
1 1 1 0
1 1 1 1
1 0 0
1 1 1 0
1 1 1 1
1 1 1 0
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 0 1 0 1 1 1 1
1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 1 1 0 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
28 6 20 8 27 28 28 9
2 4 2 2 2 2 4 1
30.0 10.0 22.0 10.0 29.0 30.0 32.0 10.0
140 141 142 143 144 145 146 147
145712 177582 177708 177565 139780 177028 177558 177557
G6P2A3 H G2P1AO
HIPOGLIKE GEA 38 MINGGU HAMIL
PPOK MIA,VOMIT NCB SMK NCB SMK DEHIDRASI DENGAN NCB SMK ATERM
US SEDANG BSC 1X + KPD, BSC
KPD 1X
202 303 RB RB 203 130 RB 135

DR
DR ETRA DR LILLY DR LILLY DR ETRA DR WISNU DR LILLY DR WISNU
RAHMAT
1/8/2020 1/11/2020 1/14/2020 1/11/2020 1/11/2020 1/10/2020 1/11/2020 1/11/2020
1/12/2020 1/13/2020 1/16/2020 1/13/2020 1/12/2020 1/12/2020 1/13/2020 1/13/2020
1 1 1 1 1
0 1 0 0 1 0 0 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 0
1 0
1 1
0 1
1 1
1 1
1 1
1 1
1 1
1 1
1 0 0 0 0 1 0 1
1 1 1 0 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1
1 0
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
0 1 0
0 0 0 0 1 0 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
17 15 7 7 16 27 6 26
4 2 3 3 5 3 4 3
21.0 17.0 10.0 10.0 21.0 30.0 10.0 29.0
148 149 150 151 152 153 154 155
177223 177610 177082 177619 138992 137646 177493 177578
HILL OBS STT PRO

OBS
GEA SINISTRA NCB SMK TYPOID VERTIGO FISTUAL PARTUS
VOMITUS
NEPTIL FEVER SINISTRA OLIGO PER
206 207 207 RB 308 207 206 135

DR DR DR
DR LILLY DR ETRA DR LILLY DR ENDAH DR IRSAN
SAMOEL BAMBANG SAMOEL
1/2/2020 1/12/2020 1/12/2020 1/12/2020 1/10/2020 1/10/2020 1/12/2020 1/11/2020
1/9/2020 1/14/2020 1/15/2020 1/15/2020 1/14/2020 1/12/2020 1/14/2020 1/13/2020
1 1 1 1 1 1
1 1 1 0 1 1 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 0 1 1 1
1 1 1 0 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
0 0 0
0 0 0
1 1 1
0 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
0 0 1 1 1 1 1
1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
0 1 0
1 1 1 0 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
16 20 28 8 17 19 26 25
3 1 3 2 4 0 2 4
19.0 21.0 31.0 10.0 21.0 19.0 28.0 29.0
156 157 158 159 160 161 162 163
177666 177758 177579 177789 163274 177800 177770 177801
G2POA1 H
G1POA1
37 - 38
DEMAM HAMIL 38 CKD ON HD
NCB SMK NCB SMK NCB SMK MINGGU NCB SMK
DENGUE MINGGU STAGE V
DENGAN
DENGAN
KPD 2HARI
207 RB RB RB 130 136 305 RB
DR ETRA DR LILLY DR LILLY DR LILLY DR WISNU DR WISNU DR ENY DR LILLY
1/13/2020 1/15/2020 1/11/2020 1/15/2020 1/15/2020 1/16/2020 1/15/2020 1/16/2020

1/16/2020 1/17/2020 1/13/2020 1/17/2020 1/17/2020 1/17/2020 1/16/2020 1/18/2020
1 1 1 1
0 1 0 1 1 1 0 1
1 1 1 1
1 1 1 1
1 1 1 1
0 1 1 0
1 1 1 1
1 1
1 1
0 0
1 0
1 1
0 1
0 1
0 1
1 1
1 1
1 1
0 0 1 1 1 1 0 1
1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 0 0 0 0 1 0 0
0 0 0 0 1 1 0 0
1 1 1 1 1 1 0 1
14 7 7 8 24 27 11 8
5 3 3 2 5 2 7 2
19.0 10.0 10.0 10.0 29.0 29.0 18.0 10.0
164 165 166 167 168 169 170 171
176102 177745 177554 177425 173660 177028 177019 174609
G6P2A3
G2P3AO H H38
HT FEBRIS+
39 MINGGU HEART MINGGU VAGINAL
NCB SMK EMERGEN VOMITUS+ CKD ON HD
LET FAILURE DENGAN BLEEDING
CY DM
SUNGSANG BSC 1X +
KPD 18 JAM
136 RB 203 207 304 130 135 203
DR WISNU DR LILLY DR AULIA DR ENDAH DR ETRA DR WISNU DR WISNU DR ENY
1/15/2020 1/15/2020 1/10/2020 1/7/2020 1/13/2020 1/10/2020 1/6/2020 1/13/2020

1/17/2020 1/17/2020 1/13/2020 1/10/2020 1/16/2020 1/12/2020 1/6/2020 1/13/2020
1 1 1 1 1 1 1
1 1 0 1 0 0 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 0 1 1 1 1 1
1 1 1 1 1 1 0
1 1 1 1 1 1
1 1 1
1 1 1
0 0
0 0
1 1
1 0 1
1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 0 0 1 1
1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1
1 1
1 1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
0 1
0 0 1 1 0 0 0
1 0 1 1 1 1 1
1 1 1 1 1 1 1 0
26 8 18 19 15 25 23 6
4 2 3 2 4 5 1 4
30.0 10.0 21.0 21.0 19.0 30.0 24.0 10.0
172 173 174 175 176 177 178 179
177523 177776 155658 176813 177624 177836 177835 177688
G2P0A1
HAMIL 41
STT
OBS GEA MINGGU
PNEUMANI TUMOR TYPHOID
VOMITUS + DEHIDRASI NCB SMK NCB SMK DENGAN
A MAMAE FEVER
GEA SEDANG KPD DAN
DEXTRA
GAWAT
JANIN
305 207 203 203 RB RB 136 302

DR
DR ENDAH DR ETRA DR BUDI DR LILLY DR LILLY DR WISNU DR ETRA
SAMOEL
1/9/2020 1/15/2020 1/17/2020 1/3/2020 1/13/2020 1/17/2020 1/12/2020 1/14/2020
1/15/2020 1/17/2020 1/18/2020 1/5/2020 1/15/2020 1/19/2020 1/19/2020 1/16/2020
1 1 1 1 1
0 0 1 0 1 1 1 0
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 0 0 0 1 1
1 1 1 0 0 1
1 1
1 1
0 0
0 0
1
0 1
1 1
1 1
1 1
1 1
0 1
1 1
1 0 0 1 1 1 1 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1
1 0
0 1 1 1 0 0 1 0
0 0 0 1 0 0 0 1
1 1 1 1 1 1 1 1
16 16 17 24 8 8 25 13
3 5 3 7 2 2 4 5
19.0 21.0 20.0 31.0 10.0 10.0 29.0 18.0
180 181 182 183 184 185 186 187
177771 176012 177586 177532 177371 177655 176031 161198
G1P0IO
G5P3AP H
HAMIL 38-
38 - 39
LIMPHADE 39 MINGGU HIPERGLIK
BO SC AN MINGGU DM +
NCB SMK NOPATY DENGAN OBS MUAL EMIS +
LETSU DENGAN GANGREN
COLI SINGSANG DYSPEPSIA
KPD +
+ GAWAT
HBSAG
JANIN
RB 203 136 136 130 302 204 203
DR LILLY DR RONI DR IRSAN DR BONA DR BONA DR ETRA DR ETRA DR ETRA
1/15/2020 1/8/2020 1/11/2020 1/11/2020 1/7/2020 1/13/2020 1/16/2020 1/15/2020

1/17/2020 1/9/2020 1/13/2020 1/13/2020 1/9/2020 1/15/2020 1/18/2020 1/17/2020
1 1 1 1 1 0 1
1 1 1 0 1 0 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 0 0
1 1 1 1 1 0 0
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
0 0 0 1
0 1 1
1 1 1
1 0 0
1 0 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 0 1 1 1 0 0 0
1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 1
1 0 0 0 0 0 1 1
0 0 1 1 1 1 1 1
1 1 1 1 1 1 1 1
9 18 26 24 28 13 15 18
1 5 3 5 2 5 6 3
10.0 23.0 29.0 29.0 30.0 18.0 21.0 21.0
188 189 190 191 192 193 194 195
177840 177780 177778 177167 177124 177848 159337 176589
MIOMA
TUMOR UTERI
HIPERGLIK PRO SC PROLONGU
NCB SMK NCB SMK NCB SMK MAMAE ( PRO
EMIA + DM PAKET E FEVER
SINISTRA HISYEREKT
OMI )
RB RB 203 RB 311 135 308 135

DR
DR LILLY DR LILLY DR ETRA DR LILLY DR BONA DR ETRA DR BONA
SAMOEL
1/17/2020 1/15/2020 1/15/2020 1/1/2020 1/10/2020 1/17/2020 1/13/2020 1/9/2020
1/19/2020 1/17/2020 1/17/2020 1/3/2020 1/12/2020 1/19/2020 1/16/2020 1/13/2020
1 1 1 1 1
1 1 1 0 1 1 0 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1
1 0 0
0 1 1
1 1 1
0 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
0 1 0 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 0 0 0 0 0
0 1 0 0 0 1 0 1
1 1 1 1 1 1 1 1
7 10 18 7 26 28 12 28
3 0 3 3 4 2 4 2
10.0 10.0 21.0 10.0 30.0 30.0 16.0 30.0
196 197 198 199 200 201 202 203
177282 177919 173726 177855 177854 177319 158313 177641
G2P1AO H7 OBS
MINGGU FEBRIS EC GEA +
SC
DENGAN INFECTION VOMITUS
STT NCB SMK DENGAN VT STBIL CHF
ABORTUS TUNNEL DEHIDRASI
BSC + KPD
INCOMPLE PADA CKD SEDANG
TE ON HD
313 130 203 RB 130 203/HCU 203 304

DR
DR WISNU DR ENY DR LILLY DR WISNU DR AULIA DR ETRA DR AULIA
SAMOEL
1/10/2020 1/18/2020 1/6/2020 1/17/2020 1/17/2020 1/6/2020 1/9/2020 1/13/2020
1/12/2020 1/19/2020 1/8/2020 1/19/2020 1/19/2020 1/9/2020 1/11/2020 1/19/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 0 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 0 0 1 1 1 1
0 0 1 1 0 1 1
1 1 1 1 0 1 1
1 1
1 1 1
1 1 1
1
1 0
0 1
1 1
0 1 1
1 1
0 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 0 0 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
0 0 1 0 0 1 1 0
0 0 1 0 0 0 1 0
1 1 1 1 1 1 1 0
23 21 19 8 27 18 19 14
6 4 1 2 3 4 3 5
29.0 25.0 20.0 10.0 30.0 22.0 22.0 19.0
204 205 206 207 208 209 210 211
177849 175413 177837 176493 135017 177891 177861 177742
G2P1AO G1P0A0
CKD HAMIL ± 38 HAMIL 5,6
STAGE V MINGGU DENGUE MINGGU
NCB SMK NCB SMK DHF NCB SMK
ON HD + DENGAN FEVER ABORTUS
ANEMIA BKS SC 1X INKOMPLE
+ KPD TE
RB 303 RB 135 305 130 207 RB
DR LILLY DR ENY DR LILLY DR WISNU DR BUDI DR BONA DR BUDI DR LILLY
1/17/2020 1/17/2020 1/17/2020 1/13/2020 1/11/2020 1/18/2020 1/17/2020 1/15/2020

1/14/2020 1/18/2020 1/19/2020 1/15/2020 1/12/2020 1/18/2020 1/20/2020 1/17/2020
1 1 1 1 1
1 0 1 1 0 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 1 1 1
0 1 0 0 0
1 1 1 1 1
1 1
1 1
0
1
1 1
1
1 1
1 1
1 1
1 1
1 1 1 0 1 1 1
1 1 1 1 1 1 1
1 0 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1
1 1
1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 0 1 0 0 0 1 0
1 0 0 1 0 1 0 0
1 1 1 1 1 1 1 1
10 12 9 28 8 22 18 8
0 6 1 2 6 2 2 2
10.0 18.0 10.0 30.0 14.0 24.0 20.0 10.0
212 213 214 215 216 217 218 219
177911 177656 177838 177705 177517 177264 177999 177020
SUSP
HILL
GERD /
OBS DM + SINISTRA DEMAM
NCB SMK DHF NCB SMK DYSPEPSIA
TYPHOID VOMITUS INGUINAL DENGUE
+ GEA
HERNIAL
SEDANG
RB 206 RB 207 207 207 313 307

DR
DR LILLY DR LILLY DR LILLY DR BUDI DR ETRA DR ETRA DR ETRA
SAMOEL
1/18/2020 1/13/2020 1/17/2020 1/16/2020 1/9/2020 1/21/2020 1/20/2020 1/19/2020
1/20/2020 1/15/2020 1/19/2020 1/21/2020 1/12/2020 1/24/2020 1/23/2020 1/22/2020
1 1 1 1 1 1
0 1 1 1 1 1 0 0
1 1 1 1 1 1
1 1 1 1 1 1
1 0 1 0 1
1 1 0 1 1
1 0 1 1 1
1
0
0
0
0
1 0 1 0 1 0 0
1 1 1 1 1 0 1
1 1 1 1 1 1
1 1 1 1 1 1
0 1 1 0
0 1
1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 0 0 0 0 0 0
0 1 0 0 1 0 1
1 1 1 1 1 1 1
7 13 8 15 4 24 10 14
3 3 2 6 0 8 6 5
10.0 16.0 10.0 21.0 4.0 32.0 16.0 19.0
220 221 222 223 224 225 226 227
177713 164592 178070 177920 177944 177876 177970 177739
OBS
SOFT STT AKUT
DEMAM DIARE FEBRIS EC DENGUE
TISSUE TENORAX APPENDIAT VERTIGO
TYPOID AKUT + DM VIRAL FEVER
TUMOR PRTERIOR IS
INFECTION
313 302 203 203 207 204 206 203

DR DR DR
DR I MADE DR ETRA DR ETRA DR LILLY DR ETRA
SAMOEL SAMOEL BAMBANG
1/22/2020 1/22/2020 1/22/2020 1/18/2020 1/20/2020 1/17/2020 1/20/2020 1/14/2020
1/23/2020 1/23/2020 1/23/2020 1/21/2020 1/23/2020 1/20/2020 1/22/2020 1/20/2020
1 1 1 1 1 1 1 1
0 0 0 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
0 0 0 1 0 1 1 0
1 1 1 1 1 1 1 1
1 1 1
0 1 1
1 0 1
1 0
1 1
1 0
0 1
1 1
1 1
1 1 1
1 0 1
1 1 1
0 1 0 0 1 0 0 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 0 1
0 1 1 1 1
1 1 1 1 1 1
0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
0 0 1 1 1 1 1 1
0 0 0 1 1 0 0 0
1 1 1 1 1 1 1 1
22 16 16 20 27 17 15 19
10 7 4 1 3 4 3 2
32.0 23.0 20.0 21.0 30.0 21.0 18.0 21.0
228 229 230 231 232 233 234 235
177673 177707 177981 142375 177757 177741 177553 178213
G4P3AO G2P1AO
G2P1AO G3P2AO
HAMIL HAMIL ± 39
HAMIL 38 HAMIL 38
COLIC ATERM MINGGU
DEMAM MINGGU MINGGU DEMAM
ABDOMEN DENGAN DENGAN NCB SMK
TYPOID D/SUNGSA DENGAN TYPOID
EC GERD KPD 12 JAM BKS SC +
NG + KPD 8 BEKAS SC
DAN PRO LETSU +
JAM 1X
STERIL KPD
312 130 204 130 130 138 203 RB
DR ETRA DR BONA DR ETRA DR WISNU DR IRSAN DR IRSAN DR ETRA DR LILLY
1/16/2020 1/14/2020 1/20/2020 1/17/2020 1/15/2020 1/15/2020 1/10/2020 24/1/20202

1/18/2020 1/16/2020 1/23/2020 1/19/2020 1/17/2020 1/17/2020 1/13/2020 1/26/2020
1 1 1 1 1 1 1
0 1 0 1 0 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 0 0 1 1 1 0
0 1 0 0 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
0 0 1 0
1 1 1 1
1 1 1 1
0 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
0 0 0 1 1 1 0 1
1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 0
1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0
1 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0
1 1 1 1 1 1 1 1
14 22 15 26 26 27 15 8
5 7 6 4 3 2 5 2
19.0 29.0 21.0 30.0 29.0 29.0 20.0 10.0
236 237 238 239 240 241 242 243
178143 178144 177979 177890 178072 178127 177958 178076
G3P1A1
HAMIL ± 38
MINGGU NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK
DENGAN
KPD
130 RB RB RB RB RB RB RB
DR WISNU DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY
1/23/2020 1/23/2020 1/20/2020 1/18/2020 1/22/2020 1/22/2020 1/20/2020 1/22/2020

1/25/2020 1/25/2020 1/22/2020 1/20/2020 1/23/2020 1/23/2020 1/22/2020 1/24/2020
1 1 0 0 0 0 0 0
1
0
0
0
1
1 1 0 1 0 0 1 1
1 1 0 1 1 0 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 1 1 1 1 0 1 1
25 8 5 7 6 4 6 7
5 2 5 3 4 6 4 3
30.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0
244 245 246 247 248 249 250 251
178135 178309 178191 178167 178217 177930 177976 178047
NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK
RB RB RB RB RB RB RB RB
DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY
1/22/2020 1/27/2020 1/24/2020 1/23/2020 1/25/2020 1/19/2020 1/20/2020 1/21/2020

1/24/2020 1/27/2020 1/27/2020 1/25/2020 1/27/2020 1/21/2020 1/22/2020 1/23/2020
0 0 0 0 1 1 0 0
0 0 1 1 1 1 0 1
1 0 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0
1 0 1 1 1 1 1 1
6 4 7 7 9 8 6 7
4 6 3 3 1 2 4 3
10.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0
252 253 254 255 256 257 258 259
177922 177960 177180 178002 177216 129464 177786 166799
INFEKSI STATUS
HYPERBILI STEMIPARE
NCB SMK NCB SMK NCB SMK NCB SMK BAKTERIAL CONVOLTIV
RUBINEMIA SE DEXTRA
+ VERTIGO US
RB RB RB RB RB 203 207 206

DR
DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR ETRA DR LILLY
BAMBANG
1/18/2020 1/20/2020 1/2/2020 1/20/2020 1/16/2020 1/13/2020 1/15/2020 1/11/2020
1/20/2020 1/22/2020 1/4/2020 1/22/2020 1/17/2020 1/16/2020 1/19/2020 1/13/2020
1 1 1 1
0 0 0 0 0 1 1 0
1 1 1 1
1 1 1 1
1 1 1 0
1 1 0 0
0 1 1 1
1
1 1 1 1 0 1 0
1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
0 0 0 0 0 1 1 0
0 0 0 0 1 1 1 0
1 0 1 1 1 1 1 1
7 5 7 7 11 20 19 14
3 5 3 3 3 1 2 6
10.0 10.0 10.0 10.0 14.0 21.0 21.0 20.0
260 261 262 263 264 265 266 267
144649 178073 177942 177652 177732 177280 177799 177925
G3P1A1
FEBRIS 2 HAMIL ± 37
CKD STAGE
DM HARI MINGGU
V ON HD + MENMETR SUSP
HIPERGLIK DENGAN ANEMIA DENGAN DYSPEPSIA
ANEMIA ORAGIA STROKE
EMI LEKOSILOS BSC 1X +
GRAVIS
IS GAWAT
JANIN
303 207 305 130 203 136 207 203
DR ENY DR ETRA DR ETRA DR WISNU DR ETRA DR IRSAN DR ETRA DR ENDAH
1/16/2020 1/22/2020 1/20/2020 1/18/2020 1/14/2020 1/12/2020 1/16/2020 1/19/2020

1/18/2020 1/23/2020 1/21/2020 1/19/2020 1/16/2020 1/15/2020 1/18/2020 1/23/2020
1 1 1 1 1 1 1 1
0 1 1 1 0 1 0 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 1 0 1 1 0 1
0 0 1 0 1 1 0 1
1 1 1 1 0 1 1
1 1
0 1 1 1
0
1
0 1
1
1 1
1 1
1 1
1 1
0 0 0 1 0 1 1 0
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 0 1 1 1
1 0 0 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
0 1 0 1 0 0 1 1
1 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1
10 16 14 21 15 26 15 18
7 5 4 4 7 3 5 2
17.0 21.0 18.0 25.0 22.0 29.0 20.0 20.0
268 269 270 271 272 273 274 275
178008 178267 178300 175271 178335 178283 178401 178483
TYPHOID
NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK
FEVER
311 RB RB RB RB RB RB RB
DR ETRA DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY
1/21/2020 1/27/2020 1/27/2020 1/27/2020 1/28/2020 1/27/2020 1/28/2020 1/29/2020

1/23/2020 1/29/2020 1/29/2020 1/29/2020 1/28/2020 1/29/2020 1/30/2020 1/30/2020
0 1 1 1 0 0 1 0
1
0 1 0 1 0 0 0 0
0 1 1 1 1 1 1 0
1 1 1 1 0 1 1 0
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 1 1 1 0 0 1 0
13 8 7 8 4 5 7 2
5 2 3 2 6 5 3 8
18.0 10.0 10.0 10.0 10.0 10.0 10.0 10.0
276 277 278 279 280 281 282 283
178344 175413 177968 178334 152021 178129 178216 178298
G2P1AO H G1P0A0 G2P1AO

ANEMIA
39 - 40 HAMIL 39 HAMIL ± 40
RENAL OBS KEJANG
NCB SMK MINGGU DYSPEPSIA MINGGU MINGGU
DENGAN SYNCOPE DEMAM
DENGAM DENGAN DENGAN
CKD ON HD
PTM KPD KPD
RB 303 303 130 206 203 130 130

DR
DR LILLY DR ENY DR TITA DR LILLY DR ETRA DR WISNU DR IRSAN
BAMBANG
1/28/2020 1/17/2020 1/20/2020 1/28/2020 1/17/2020 1/22/2020 1/25/2020 1/27/2020
1/30/2020 1/18/2020 1/22/2020 1/28/2020 1/22/2020 1/24/2020 1/27/2020 1/29/2020
0 1 1 0 1 1 1
0 0 0 0 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 0 1 1 1 1 1
1 1 0 0 0 0 1
1 1 1 1 1 1
0 0 1 1
0 1 1
0 0
1 1
1 1
1 1
1 1
1 0
1 1
1 1
1 1
1 1
1 1 1 0 0 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 1
1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0
1 0 1 1 1 1 0 0
0 0 1 1 1 0 0 1
1 1 1 0 1 1 1 1
8 14 15 12 13 17 26 27
2 5 4 6 5 3 4 3
10.0 19.0 19.0 18.0 18.0 20.0 30.0 30.0
284 285 286 287 288 289 291 292
178270 177823 131867 177989 177399 177830 122309 178084
G5P2A2
G4P2A1
G4P3AO HAMIL 8-9
HAMIL 38
HAMIL 38 SC MINGGU
DM + MINGGU TB PARU =
MINGGU GEA DENGAN CKD ON HD DENGAN
VERTIGO DENGAN FEBRIS
DENGAN OLIGO ABORTUS
BEKAS SC
PEB + KPD IN
1X + KPD
COMPLATE
136 312 130 303 135 202 202 130
DR WISNU DR ETRA DR BONA DR ETRA DR BONA DR ENDAH DR ENY DR WISNU
1/27/2020 1/19/2020 1/15/2020 1/20/2020 1/10/2020 1/16/2020 1/16/2020 1/22/2020

1/29/2020 1/22/2020 1/17/2020 1/22/2020 1/12/2020 1/20/2020 1/17/2020 1/23/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 0 1 1 1 0 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
0 0 0 0
1 1 1
1 1 1
1 1 0 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 0 0 0 1 1 0 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
0 0 1 0 1 1 0 1
1 0 0 0 0 1 1 0
1 1 1 1 1 1 1 1
28 15 26 14 27 19 15 23
2 4 3 3 3 2 4 2
30.0 19.0 29.0 17.0 30.0 21.0 19.0 25.0
293 294 295 296 297 298 299 300
177639 177127 177889 177975 174588 177556 177783 177702
G3P2AO
G2POA1
HAMIL ± 15
TUMOR PRO SC HAMIL 38 OS HT SOFT
TUMOR MINGGU
MAMAE DENGAN MINGGU KATARAK EMERGENC TISSU
MAMAE DENGAN
SINISTRA LETSU DENGAN MATUR Y TUMOR
ABORTUS
KPD
INFOMPLET
203 311 138 136 311 207 136 305

DR DR
DR IRSAN DR BONA DR.DEVY DR AULIA DR WISNU DR IMADE
SAMOEL SAMUEL
1/19/2020 1/10/2020 1/18/2020 1/20/2020 1/22/2020 1/11/2020 1/15/2020 1/22/2020
1/22/2020 1/12/2020 1/20/2020 1/22/2020 1/23/2020 1/12/2020 1/17/2020 1/23/2020
1 1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 0 1 1
1 1 1 1 1 1 1 0
0 1 1 1 1 1
1 1 1 1 1 1
1 1 1 0 1 0
1
0 1 0 0 1
0 0 1 0
1 1 1 1
0 1 1 0 1
1 1 1 1 0
1 1 1 1
1 1 1 1 1
0 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 0 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 0
1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0
1 1 0 0 1 1 0 0
1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1
28 29 26 24 14 19 22 21
7 1 4 6 0 3 2 5
35.0 30.0 30.0 30.0 14.0 22.0 24.0 26.0
301 302 303 305 306 307 308 309
178185 178134 177540 178126 177781 174891 167969 177773
PROLONGE G4P3AO
G1POAO OBS
A FEBRIS + HAMIL 40-
HAMIL.38 KISTA FEBRIS
DHF EFUSI 31 MINGGU
MINGGU DYSPEPSIA ENDOMETR HARI KE-4 VERTIGO
GRADE I PLEURA DENGAN
DENGAN IOSIS DENGAN
SUSP TB PARTUS
KPD THYPOID
PARU SPONTAN
206 130 202 135 203 130 302 313

DR
DR LILLY DR WISNU DR ENDAH DR WISNU DR ETRA DR BONA DR LILLY
BAMBANG
1/23/2020 1/22/2020 1/20/2020 1/22/2020 1/15/2020 1/16/2020 1/17/2020 1/15/2020
1/25/2020 1/24/2020 1/24/2020 1/23/2020 1/17/2020 1/19/2020 1/20/2020 1/19/2020
1 1 1 1 1 1 1 1
1 0 1 0 1 1 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 0 1 0
0 1 0 1 0 1 0 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
0 0
0 1
0 1
1 0
1 1
1 1
1 1
1 1
1 1
1 1
1 1 0 1 0 1 0 1
1 1 1 0 1 1 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 0 1
1 1
1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0
1 1 1 0 0 1 0 0
0 0 1 0 0 0 0 0
1 1 1 0 1 1 1 1
15 25 22 14 14 26 10 11
3 5 2 5 6 4 7 6
18.0 30.0 24.0 19.0 20.0 30.0 17.0 17.0
311 312 313 314 315 316 317 318
177505 154705 173810 177790 135046 178482 158791 178247
HIPERPIRE
G2P1AO
NEOROFI KSIA EC
HAMIL ABDOMEN
BRONA VIRAL FENIGOE OBS
VOMITUS+ KEJANG ATRM DISCUMPR
MULTIPLE INFECTION +HIYPERTE FEBRIS
DM DEMAM DENAGAN OT +
LENGAN + MI + TB HARI KE 5
INPARTUS DISPEPSIA
KIRI FARINGITIS
KALA1
AKUT
207 206 204 202 304 130 206 203
DR RONY DR LILLY DR ETRA DR ENDAH DR LILLY DR TITA DR LILLY DR ETRA
1/15/2020 1/20/2020 1/20/2020 1/15/2020 1/8/2020 1/29/2020 1/17/2020 1/26/2020

1/16/2020 1/22/2020 2/1/2020 1/19/2020 1/9/2020 1/30/2020 1/21/2020 1/28/2020
1 1 1 1 1 0 1 1
1 1 0 0 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 1 0 1 1 0
0 0 0 0 0 0 0 0
1 1 1 1 1 0 1 1
0 0
0
0
0 0 0 1 0 0 1 0
1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 1 1
1 0 1 0 1 1
0 1 1
1 1 1
1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 0 1 1
1 1 1
1 1 0
0 1 1 1 0 0 1 0
0 0 0 1 0 0 0 0
1 1 1 1 1 0 1 1
15 15 13 18 12 5 14 15
7 3 8 4 6 12 3 5
22.0 18.0 21.0 22.0 18.0 17.0 17.0 20.0
320 321 322 323 324 325 326 327
178104 177763 177427 178432 149831 178238 128689 178251
G2P1AO ABDOMEN
HAMIL 15 DISCANFO AV BLOCK GEA +
PROLONG HEPATITIS DIARE +
DHF GR 1 MINGGU RT EC DERAJAH 1 HIPOGLIKE
FIFER + TB PARU VOMITUS
DENGAN SUSP + VES MIK
B.O GERD
206 313 202 130 207 206 302 302

DR
DR LILLY DR ETRA DR WISNU DR ETRA DR LILLY DR AULIA DR LILLY
RAHMAT
1/22/2020 1/15/2020 1/15/2020 1/29/2020 1/26/2020 1/26/2020 1/15/2020 1/26/2020
1/24/2020 1/21/2020 1/16/2020 1/30/2020 1/28/2020 1/27/2020 1/16/2020 1/28/2020
1 1 1 1 1 0 1
1 1 0 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 0 0 0 1 1
1 1 1 1 0 1 1 1
0 1
1
0
0 0 0 1 0 0 0 0
1 1 1 1 1 0 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 0
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
0 1
1 0 1 0 0 1 0 0
0 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1
13 14 13 20 14 11 12 12
5 4 4 4 6 5 6 4
18.0 18.0 17.0 24.0 20.0 16.0 18.0 16.0
328 329 330 331 332 333 334 335
178005 177871 178223 178210 178235 177839 177921 178059
G2P1AO
DIARE G3P2AO DIARE
HAMIL 39
GEA AKUT + HAMIL 38 AKUT
BRONCHITI MINGGU
GED DEHIDRASI DEHIDRASI DBD MINGGU DENGAN
S AKUT DENGAN
SEDANG SEDANG + DENGAN DEHIDRASI
BCS 1X +
VOMITUS LETLIN SEDANG
KPD
310 203 313 303 207 136 130 206
DR ETRA DR BUDI DR BUDI DR SELLA DR BUDI DR WISNU DR WISNU DR LILLY
1/21/2020 1/17/2020 1/25/2020 1/24/2020 1/25/2020 1/17/2020 1/18/2020 1/21/2020

1/22/2020 1/20/2020 1/29/2020 1/27/2020 1/27/2020 1/19/2020 1/20/2020 1/24/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 0 1 1 1
1 0 0 0 0 1 1 0
1 1 1 1 1 1 1 1
1 1
1 1
0 0
1 1
1 1
0 1
1 1
1 1
1 1
1 1
1 1
1 1
0 0 1 0 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1
1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
0 0 0 1 1 0 0 1
0 1 0 1 1 1 0 1
1 1 1 1 1 1 1
12 15 13 15 17 27 27 16
5 3 3 1 3 3 3 2
17.0 18.0 16.0 16.0 20.0 30.0 30.0 18.0
336 337 338 339 340 341 342 344
177931 121290 178012 177918 142183 177369 148429 175998
G4P3AO
HAMIL ± 19 PRO
CORPUS
CKD ON HD LIMPADEN MINGGU KURET
CKD ON HD ALINEUM LOW
CKD ON HD + OFATTY DENGAN DENGAN
+ ANEMIA KAWAT INTAKE
EPISTAKTIS COLI ABORTUS MENOMET
DIGITI
INKOMPLIT RORAGIA
E
304 303 205 203 305 203 130 130
DR ENI DR ENI DR RONY DR BUDI DR ENY DR RONY DR WISNU DR BONA
1/19/2020 1/16/2020 1/22/2020 1/18/2020 1/13/2020 1/8/2020 1/26/2020 1/18/2020

1/22/2020 1/17/2020 1/23/2020 1/21/2020 1/19/2020 1/9/2020 1/27/2020 1/18/2020
1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 0
1 1 0 0 0 1 0 0
1 1 0 1 1 0 1 1
1 1 1 1 1
1 1 1 1
0
1 1
0 1
1 1
0 0 1 1
1 1 0
1 1 1 1
1 0 0 0 0 0 1 1
0 1 1 0 1 1
1 1 1 1 0 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0
1 1 1
1 1
1 1 1
0 1 1 0 0 0 0 0
0 1 1 0 0 0 0 0
1 1 1 1 1 1 1 1
17 19 22 14 13 16 20 18
5 1 4 6 6 6 5 7
22.0 20.0 26.0 20.0 19.0 22.0 25.0 25.0
345 346 347 348 349 350 351
177105 177868 178058 137177 177929 177726 178259
OBS
G2P1AO
G2P1A0 FEBRIS EC
HAMIL 40
HAMIL 38 FEBRIS EC VIRAL
PROLOG DENGUE MINGGU
MINGGU SUSP DHF SNH INFECTION
FEVER FEVER DENGAN
DENGAN HARI KE 4 +
GAWAT
BEKAS SC OBSERVASI
JANIN
VOMITUS
130 207 207 206 138 311 204
DR WISNU DR BUDI DR ETRA DR WISNU DR WISNU DR PARAMITA DR ETRA
1/17/2020 1/17/2020 1/21/2020 1/13/2020 1/19/2020 1/14/2020 1/26/2020

1/19/2020 1/19/2020 1/23/2020 1/16/2020 1/21/2020 1/18/2020 1/28/2020
1 1 1 1 1 0 1
1 1 0 0 1 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 0 1 1 1
1 0 0 1 1 1 0
1 1 1 1 1 1 1
1 1
1 1
0 0
1 1
1 1
1 1
1 1
1 1
1 1
0 1
1 1
1 1
1 0 0 1 1 1 0
1 1 1 1 1 1 0
1 1 1 1 1 1 0
1 1 1 1 1 1 1
1 0 1 0 0
1 1 0
1 1 1
1 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
0 0 0 1 0 0 1
0 0 0 0 1 1 0
1 0 1 1 1 1 1
26 13 14 14 27 18 12
4 7 6 3 3 0 9
30.0 20.0 20.0 17.0 30.0 18.0 21.0
352 353 354 356 357 359 360 361
59087 178177 178046 178266 177739 177914 177602 178399
G2P1AO
G2P1AO H± G4P3AO
HAMIL ± 39
39 MINGGU HAMIL ± 39-
MINGGU HIPOKALE KEJANG CELLULITIS
PPOK DHF DENGAN 40 MINGGU
DENGAN MI DEMAM + ABSES
BSC 1X + DENGAN
BEKAS SC
STENIE PTB
1X
310 207 130 130 203 206 207 130

DR
DR ENDAH DR ETRA DR PUTRA DR WISNU DR LILLY DR IMADE DR IRSAN
BAMBANG
1/21/2020 1/23/2020 1/21/2020 1/27/2020 1/21/2020 1/18/2020 1/13/2020 1/28/2020
1/29/2020 1/25/2020 1/23/2020 1/29/2020 1/27/2020 1/20/2020 1/16/2020 1/30/2020
1 1 1 1 1 1 1 1
0 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 0 1
0 1 1 1 0 0 1 1
1 1 1 1 0 1 1 1
0 0
1 1 1 1
1 1 1
1
1 0 1 0
1 1 0 1
1 1 1 1
1 1 0 1
1 1 1 1
1 1 1 1
0 1
1 1 1 1
1 1 1 0
1 1 1 1
1 1 1 1
1 1 1 1 0 0 0
0 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 0 1
1 0 0
1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
0 1 0 0 0 1 1 0
0 1 1 0 0 1 1 0
1 1 1 1 1 1 1
10 #REF! 29 28 13 15 27 25
9 #REF! 2 3 6 2 7 5
19.0 #REF! 31.0 31.0 19.0 17.0 34.0 30.0
362 363 364 366 368 369 370 371
178001 178071 176632 177884 178190 177659 160456 177797
G3P2A H. G1POAO
40 MG HAMIL 38 SUSP FEBRIS +
BRONKITIS PNEUMONI BROCOPEN
DENGAN MINGGU INFEKSI DHF HD +
AKUT A UMONIA
OLIQU DENGAN CDL DYSPEPSIA
ALERGIC KPD
130 130 312 207 312 311 207 203
DR PUTRA DR WISNU DR ENY DR ENDAH DR ETRA DR ETRA DR ENDAH DR ENDAH
1/20/2020 1/22/2020 1/15/2020 1/18/2020 1/24/2020 1/13/2020 1/24/2020 1/16/2020

1/22/2020 1/23/2020 1/19/2020 1/20/2020 1/27/2020 1/16/2020 1/28/2020 1/18/2020
1 0 1 1 1 1 1 1
1 0 0 1 1 0 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 0 1
1 1 0 1 1 1 0 0
1 1 1 1 1 1
1
1
1
1
1
1 1 0 1 0 0 0 0
1 0 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 0 0 1 1
1 0 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
0 1 1
1 0 0 1 1 0 0 1
1 0 0 1 0 1 0 0
1 0 1 0 1 1 1 1
29 10 12 17 15 15 13 16
0 8 6 2 3 5 7 4
29.0 18.0 18.0 19.0 18.0 20.0 20.0 20.0
372 373 374 375 377 378 379 380
178307 178086 178132 177125 177988 178017 178256 176468
TYPHOID
GEA POLIP
KEHAMILAN GEA+ FEBRIS + FEVER +
DEHIDRASI TB PARU ENDOMETR STT
GR I PO AO DYSPEPSIA GEA OBS
SEDANG IUM
VOMITUS
130 203 206 202 207 136 207 303

BIDAN DR DR
DR ETRA DR LILLY DR ETRA DR BONA DR ETRA
AQUARINI RAHMAT SAMOEL
1/27/2020 1/22/2020 1/22/2020 1/5/2020 1/20/2020 1/24/2020 1/26/2020 1/17/2020
1/27/2020 1/23/2020 1/24/2020 1/8/2020 1/22/2020 1/24/2020 1/28/2020 1/19/2020
1 1 1 1 1 1 1 1
0 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 1 0 0 0 0 1
1 1 1 1 1 1 1
0 1 1
1 1 1
1
1
0 0
1
1 1
1 1
1 1
1 1
1 0 0 0 0 1 0 1
1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 0 0 1 0
1 1 0 0 0
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1
0 1 1 1 1 0 0 0
1 0 0 0 0 0 0 0
0 1 1 1 1 1 1 1
12 17 14 18 14 18 14 24
6 3 4 3 6 7 5 5
18.0 20.0 18.0 21.0 20.0 25.0 19.0 29.0
381 382 384 385 386 387 388 389
178341 178243 178075 177977 178383 178039 175516 178212
G1P0A0
G3P2AO HAMIL 38- G1POAO G2P1A0
HAMIL ± 39 39 MINGGU HAMIL ± 38 HAMIL ± 39-
OBS TIFUS
MINGGU DHF DENGAN CKD STAGE TB PARU + MINGGU 40 MINGGU
+ DEMAM
DENGAN GRADE II GAWAT V + ANEMIA DM DENGAN DENGAN
DENGUE
BSC 1X + JANIN DAN PLASENTA PK1 LAMA +
KPD HIPERTENS PREVIA PTM
I
130 203 136 305 203 202 130 135
DR WISNU DR ETRA DR WISNU DR ETRA DR ENY DR ENDAH DR WISNU DR WISNU
1/28/2020 1/26/2020 1/22/2020 1/20/2020 1/28/2020 1/21/2020 1/2/2020 1/24/2020

1/30/2020 1/29/2020 1/24/2020 1/24/2020 1/29/2020 1/24/2020 1/4/2020 1/26/2020
1 1 1 1 1 1 1 0
1 0 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1 0 1 1 0 0 0 0
0 1 0 1 0 1 1 1
1 1 1 1
1 1 1 1
1 0 0 0
1 1 1 1
1 1 1 1
1 1 1 0
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 0 1 0 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 0 0 1 1 1
0 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0
1 1
0 0
0 1 1 0 1 1 0 0
0 0 1 1 0 1 0 0
1 1 1 1 1 1 1 1
25 14 28 15 15 19 26 24
5 6 2 4 5 3 4 7
30.0 20.0 30.0 19.0 20.0 22.0 30.0 31.0
390 391 392 393 394 395 398 399
178061 177957 177587 178241 177946 177715 176722 177700
G2P1AO
FATIGUE + GEA
HAMIL 39 TUMOR
DYSPEPSIA DEHIDRASI HEMAGOIM
DM MINGGU MAMAE DHF GR II TB PARU
+ LOW SEDANG + A
DENGAN SINISTRA
INTAKE DM
KPD 18 JAM
304 135 203 207 308 312 202 207

DR
DR ETRA DR WISNU DR ETRA DR ETRA DR ETRA DR ENDAH DR RONY
SAMOEL
1/21/2020 1/20/2020 1/17/2020 1/26/2020 1/20/2020 1/14/2020 1/27/2020 1/15/2020
1/27/2020 1/22/2020 1/19/2020 1/29/2020 1/21/2020 1/16/2020 1/30/2020 1/16/2020
1 1 1 1 1 1 0 1
1 1 0 1 1 0 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 0 0 0 1 0 0
1 1 0 1 1 1 1 0
1 1 1
1
1 0 1
1 0
1 1
0 0
1 1
1 1
1 1
1 1 1
1 0 1
1 1 1
0 1 1 0 0 0 0 0
1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 0 0 1 1
0 0 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1
0 1
1 0 1 1 0 0 1 1
0 0 1 0 0 1 0 0
1 1 1 1 1 1 1 1
16 27 21 15 12 14 14 22
4 3 10 5 6 4 5 4
20.0 30.0 31.0 20.0 18.0 18.0 19.0 26.0
400 401 402 403 404 405 406 407
177510 178462 177959 177959 178439 145742 178573 178378
G3P2A0
G2P1AO
H.37
G4P3AO POS SC 10 HAMIL 38
MINGGU
DENGAN HARI MINGGU DEMAM DIARE
DENGAN VERTIGO NCB SMK
BSC 1X + DENGAN DENGAN DENGUE AKUT
BEKAS
KPD HHP BSC 1X +
LUKA SC +
KPD
KPD 12 JAM
135 306 130 130 RB 130 207 303

DR
DR IRSAN DR WISNU DR WISNU DR LILLY DR IRSAN DR BUDI DR ETRA
BAMBANG
1/18/2020 1/29/2020 1/20/2020 1/31/2020 1/29/2020 1/29/2020 1/31/2020 1/28/2020
1/20/2020 2/1/2020 1/22/2020 1/31/2020 1/31/2020 1/31/2020 1/2/2020 1/30/2020
0 1 1 1 0 1 1
1 0 0 0 0 0 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 0 1 0 1
0 0 1 1 1 0 0
1 1 1 1 1 1
0 1 1 1
0 1 1
1 0 0
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
0 1 1 1 1 1 0 0
1 0 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 0
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 0 0 0 1 0
1 0 1 0 0 0 0 0
1 1 1 1 1 1 1 1
26 11 26 12 7 26 16 11
5 5 4 5 3 5 5 7
31.0 16.0 30.0 17.0 10.0 31.0 21.0 18.0
408 409 410 411 412 413 414 417
178166 178228 178468 177428 169250 115289 178496 177539
G2P1AO
HAMIL 38
DIARE
MINGGU MELENA +
AKUT ANEMIA + PROLONGE
DENGAN LEKODITOS STT DYSPEPSIA DYSPEPSIA
DEHIDRASI DM D FEVER
LETAK IS
SEDANG
LINTANG +
KPD
135 206 207 203 206 207 203 311

DR
DR BONA DR LILLY DR ETRA DR ETRA DR ETRA DR ETRA DR LILLY
SAMOEL
1/23/2020 1/25/2020 1/29/2020 1/29/2020 1/21/2020 1/30/2020 1/30/2020 1/28/2020
1/25/2020 1/27/2020 1/31/2020 1/3/2020 1/22/2020 1/31/2020 1/31/2020 1/30/2020
1 1 1 1 1 1 1 1
1 1 1 0 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 0 1 1 1
1 0 0 0 1 1 0 1
0 0 1 1 0 1 1 1
0 1
1 0 1
1
0 1
1 ,
1
1
1
1 1
1 1
1 1
1 1 0 0 1 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 1 0 0
1 1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1
0 1 1 1 1 1 1 1
0 0 0 0 1 1 0 1
1 1 1 1 1 1 1 1
24 13 17 18 22 19 15 16
5 5 3 5 3 0 5 1
29.0 18.0 20.0 23.0 25.0 19.0 20.0 17.0
418 421 422 423 424 425 426 427
170210 178415 178460 178332 178479 178480 178429 178128
G4P3AO
OBSERVASI HAMIL ± 39 KEJANG
DHF + OBS
BRONKOPN DENGUE TYPOID MINGGU DEMAM
POST NCB SMK FEBRIS EC
EUMONIA FEVER DENGAN DENGAN SEDERHAN
VARICELLA ISK
ISK BEKAS SC A
+ KPD
303 203 307 203 130 RB 206 207
DR BUDI DR LILLY DR ETRA DR ETRA DR WISNU DR LILLY DR LILLY DR ETRA
1/24/2020 1/28/2020 1/29/2020 1/28/2020 1/29/2020 1/29/2020 1/29/2020 1/22/2020

1/27/2020 1/31/2020 1/31/2020 1/30/2020 1/31/2020 1/31/2020 1/31/2020 1/24/2020
1 1 1 1 1 1 1
1 0 0 0 1 1 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 1 1 0 1
1 0 0 0 1 0 0
1 1 1 1 1 1 1
1
0
1
0
1
1 0 0 0 1 0 0 0
1 1 0 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 1
0 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 0 1 0 1 0
0 0 0 0 0 0 0 0
1 1 1 1 1 1 1 1
15 15 9 14 26 7 12 15
3 6 7 6 3 3 5 5
18.0 21.0 16.0 20.0 29.0 10.0 17.0 20.0
428 429 430 431 432 433 434 435
160927 177906 178542 178571 178509 178365 178490 178506
G2P1AO
DIARE G1P0A0
G1POAO HAMIL 39
AKUT + HAMIL 41
HAMIL ± 39- MINGGU
ANEMIA INTEK MINGGU SELULITIS
40 MINGGU DHF NCB SMK DENGAN
GRAVIS SULIT DENGAN ORBITA OS
DENGAN INDUKSI
+VOMITUS PRO
KPD GAGAL +
+ DM INDUKSI
CPD
302 304 135 136 207 203 130 130
DR TITA DR BUDI DR BONA DR WISNU DR ETRA DR DEVY DR.LILLY DR WISNU
1/29/2020 1/18/2020 1/31/2020 1/31/2020 1/30/2020 1/28/2020 1/30/2020 1/30/2020

2/1/2020 1/21/2020 1/3/2020 2/3/2020 2/3/2020 1/31/2020 2/1/2020 2/1/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 0 1 0 1 0 1
1 1 1 0 1 1 1
0 1 0 1
1 1 1 0 1
0
1 0
0 0 0 0
1 1 1
1 1 1
0 0 0
1 1 1
1 1 1
1 1 1
1 1 0
1 1 1
1 1 1
1 0 1 1 1 0 1
1 1 0 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
0 0 0 0 1 0 1 0
1 0 0 1 0 0 0 0
1 1 1 1 1 1 0 1
16 13 24 25 14 17 5 25
1 4 6 5 6 3 5 5
17.0 17.0 30.0 30.0 20.0 20.0 10.0 30.0
436 437 438 439 441 442 443 444
178507 178487 178561 178560 178102 145727 178601 178572
G3P2AO
KEJANG BSC 1X + CHF EC
NCB SMK NCB SMK HHD NCB SMK NCB SMK
DEMAM KPD + CAD
HBSAG
RB 206 RB 130 207 313 RB RB
DR LILLY DR LILLY DR LILLY DR IRSAN DR AULIA DR AULIA DR LILLY DR LILLY
1/30/2020 1/30/2020 1/31/2020 1/31/2020 1/22/2020 1/28/2020 1/1/2020 1/31/2020

2/1/2020 2/1/2020 2/2/2020 1/2/2020 1/27/2020 2/1/2020 1/3/2020 1/3/2020
1 1 1 1 1 1
0 1 1 1 1 0 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 0 0
1 1 1 1
1
0
1
1
1
0 0 1 1 0 0 1 0
1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 1 1 1 1 0 1 1
5 14 8 28 16 10 9 8
5 2 2 3 4 6 2 3
10.0 16.0 10.0 31.0 20.0 16.0 11.0 11.0
445 447 448 449 450 451 452 453
178556 178610 178417 162628 178410 174383 176387 178486
MENOMET
UTEROVAG
DENGUE RORAGIA CKD ON HD
NCB SMK NCB SMK INAL DM HIPO NCB SMK
FEVER PD MIOMA + ANEMIA
PRULAPI
UTERM
RB RB 311 130 303 135 203 RB
DR LILLY DR LILLY DR LILLY DR BONA DR ETRA DR WISNU DR ENY DR LILLY
1/31/2020 2/1/2020 1/29/2020 3/20/2019 1/28/2020 1/25/2020 1/24/2020 1/30/2020

2/3/2020 2/3/2020 1/31/2020 3/23/2019 2/1/2020 2/1/2020 2/1/2020 2/1/2020
1 1 1 1 1 1 1 1
1 1 0 1 1 1 0 1
1 1 1 1 1 1
1 1 1 1 1 1
0 1 1 1 0 0
1 1 1 1 0 0
1 0 1 0 0 0
1 0
1 1 0 0
1 1 1 1
1 0 0
1 1 0
1 1
1 0
1 1
1 0
0 1
1 1
1 1
1 1 0 1 0 0
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0
1
0 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 0 1 1 0 0
1 1 0 1 1 1 0
1 1 1 1 1 1 1
11 11 11 25 17 25 15 4
0 0 5 3 0 6 10 7
11.0 11.0 16.0 28.0 17.0 31.0 25.0 11.0
454 455 456 457 458 459 460 461
172425 139710 129766 178539 178494 169945 140637 178204
G2P1AO
HYPEREKSI
HAMIL 39 FROZEN
A UNION
VIRAL MINGGU DYSPEPSIA SHOULDER
KPD VERTIGO +PHARINGI FRAKTUR
INFECTION DENGAN + ANEMIA +DYSPEPSI
TIS + PATELLA
BEKAS SC A
DIARE
1X + KPD
AKUT
130 303 312 135 312 302 304 310

DR
DR WISNU DR LILLY DR WISNU DR LILLY DR IMADE DR ETRA DR SELLA
BAMBANG
1/30/2020 1/30/2020 1/30/2020 1/31/2020 1/30/2020 1/21/2020 1/27/2020 1/24/2020
1/31/2020 1/31/2020 1/2/2020 02/2/1/2020 2/1/2020 1/23/2020 1/30/2020 1/29/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 0 0 1 1
1 1 1 1 0 0 0 0
1 1 1 1 1 1 1
0 0
1 1 0 1
1 1 0 1
2
1 0 1
1 1 0
1 1 1
1 1 0
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 0
1 1 1 1 1 1 0 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 0 1
1 1 0 0
0 0
1 1 1
0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1
1 1
0 0 0 1 0 0 0 0
1 1 0 0 0 0 0 1
1 1 1 1 1 1 1 1
29 14 15 28 12 22 11 12
5 2 2 2 4 10 10 4
34.0 16.0 17.0 30.0 16.0 32.0 21.0 16.0
462 463 464 465 466 467 468 469
178161 175158 178366 178540 178402 114822 178230 178297
STEMI DIARE
FEBRIS
INFERIOR, AKUT
CKD ON HD GIANT HIL DENGAN DENGUE
ONSET,KILL NCB SMK DENGAN
+CHF TUMOR DEXTRA TB + CKD FEVER
IP,TIMI DEHIDRASI
ON HD
SKORE 3 SEDANG
312 207 UGD RB 203 313 207 206

DR
DR ENY DR RONY DR TITA DR LILLY DR ETRA DR ENY DR LILLY
SAMOEL
1/23/2020 1/29/2020 1/28/2020 1/31/2020 1/28/2020 1/28/2020 1/25/2020 1/27/2020
1/29/2020 1/30/2020 1/28/2020 2/2/2020 2/1/2020 1/31/2020 1/28/2020 2/1/2020
1 1 1 1 1 1
0 0 1 1 1 1 0
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 0 1 1
0 0 0 0 0 0
0 1 1 1 1 1
1 1 0
1 0 0 0
1 0
0 1
1
0
0
0 1
1 1
1 1
0 0 0 0 0 0 0
0 1 1 1 1
1 1 1 1 0 1 1
0 1 0 1 1 1 1 1
0 1 1 0
0 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
0 0 0 1 0 1 1
0 0 0 0 0 0 1
1 1 1 1 1 1 1 1
11 16 2 7 18 19 17 15
8 10 1 3 4 10 6 4
19.0 26.0 3.0 10.0 22.0 29.0 23.0 19.0
470 471 472 473 474 475 476 335
146223 178563 153418 178055 178261 132395 178539 177784
ULKUS DM ANEMIA+CK
HT +OBS BSC 1X + DYSPNEU
+GANGUAN HEG TB PARU ANEMIA D ON HD +
CAD KPD CHF
PEDIS PRO HD
207 135 202 310 305 207 135 HCU
DR RONY DR WISNU DR ENDAH DR ETRA DR ENY DR AULIA DR WISNU DR ETRA
1/29/2020 1/31/2020 1/31/2020 1/30/2020 1/27/2020 1/25/2020 31/02/2020 1/15/2020

1/30/2020 1/2/2020 2/1/2020 2/1/2020 1/28/2020 1/28/2020 2/2/2020 1/21/2020
1 1 1 1 1 0 1 1
0 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 0 0 1 1 1
1 0 1 0 0 0 1 0
0 1 1 1 1 1 1
1 1 1
1
0 1
1
1
1
0 1
1 1
1 1
0 0 0 0 1 1
0 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1
0 1 1
1 1 1
1 1
1 1 1 1 1 1 1
1 1 0 1 1 1 1
1 1 1
1 0 1 0 0 0 1
0 0 1 0 0 0 1
1 1 1 1 1 1 1 1
17 11 18 11 10 16 30 9
9 4 2 6 6 4 0 1
26.0 15.0 20.0 17.0 16.0 20.0 30.0 10.0
NO IDENTITAS 1 2 3
No RM 178634 178628 141741
Diagnosa NCB SMK NCB SMK SC BSC
Ruangan RB RB KEB
DPJP DR LILLY DR LILLY DR BONA
MRS 2/3/2020 2/2/2020 2/2/2020

KRS 2/5/2020 2/4/2020 2/4/2020
Kembali ke File
1 SURAT PERMINTAAN DIRAWAT RMI 01 1 1 1

2 RM03 1 1 1
PASIEN

RMI 04 1
MR./RI009/V/
TATA LAKSAN PASIEN RAWAT INAP 1
08
SURAT PENYATAAN 1

RMI 05 1
INTEGRASI
CATATAN PEMINDAHAN PASIEN RMI 06 1
RM/RJ.RI.032
FORMULIR KONSUL
/I/II

PERNYATAAN
PERSETUJUAN/PENOLAKAN RMI 57 1
OPERASI/TINDAKAN

RMI 32 1
DAN PRODUK DARAH

PEMANTAUAN PROSEDUR
RMI 70

SEDATIF
FORMULIR PERSIAPAN PRE OPERASI RMI 39 1
CHECK LIST PROSEDUR

KESELAMATAN PASIEN DI KAMAR RMI 59 1
OPERASI
ASSESMENT PRA INDUKSI RMI 55 1
KARTU ANASTESI RM 36 1
ASESMEN PRA ANESTESI MR 1
INFORMASI TINDAKAN ANESTESI RM 142 1
SPINAL/ EPIDURAL
INFORMASI TINDAKAN ANESTESI 1
UMUM

RMI 62 1
OPERATIF
ASESMEN PRA BEDAH MR 1

RMI 56 1
OPERASI
LAPORAN PEMBEDAHAN RMI 35 1

KEPERAWATAN PASIEN OBSTETRI RMI 08 1 1 1
DAN GINEKOLOGI
PENGKAJIAN PASIEN TERMINAL

JAWAB PASIEN ) DAN MANAJER RMI 33 1 1 1
KASUS

RMI 17 1 1 1
TERINTEGRASI
CATATAN HARIAN PERAWAT RMI 16 1 1 1

RMI 11 1
DEWASA

(BERDASARKAN PENILAIAN BARTHEL RMI 66
INDEX)

RMI34
NORTON )
OBSERVASI MANAJEMEN NYERI RMI 53 1
MONITOR PASIEN RAWAT INAP RMI 48 1 1 1
KURVA HARIAN PASIEN RAWAT INAP 1 1 1
FORMULIR ASUHAN GIZI RM 33
FORMULIR ASUHAN KEFARMASIAN

UNTUK PASIEN DHF

TINDAKAN PEMBEDAHAN DENGAN
RUJUKAN EKSTERNAL RMI 18

PASIEN RAWAT INAP
LEMBARAN PEMANTAUAN
HEMODELISA

KEMATIAN
PARTOGRAF

RMI 58
INAP
PERENCANAAN PULANG
RMI 15 1 1 0
RM/RI.026/XI
SURAT PASIEN PULANG 1 1 1
I/10
RMI 19 1 1 1
INAP
Terisi 11 11 30
Tidak Terisi 0 0 1
Kelengkapan (prosentase) 11 11 31
Yang Mereviaw
4 5 6 7 8 9 10
178621 178627 178737 178738 178742 178743 178644
G1P0A0 G4B3A0
G1P0A0
HAMIL HAMIL 38
HAMIL + 12
ANTERM PRO SC MINGGU
NCB SMK MINGGU NCB SMK NCB SMK
DENGAN PAKET DENGAN
DENGAN AB
GAGAL KPD ± 12
INKOMPLIT
INDUKSI JAM
RB KEB KEB RB KEB RB KEB
DR LILLY DR WISNU DR BONA DR LILLY DR IRSAN DR LILLY DR WISNU
2/2/2020 2/2/2020 2/4/2020 2/4/2020 2/4/2020 2/4/2020 2/3/2020

2/4/2020 2/3/2020 2/6/2020 2/6/2020 2/6/2020 2/6/2020 2/5/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 0 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 0 1 0 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
10 31 27 11 29 11 30
0 0 2 0 1 0 0
10 31 29 11 30 11 30
11 12 13 14 15 16 17 18
178645 178554 178554 178745 178384 178808 178734 178684
SC NEOROFIB
DENGAN DENGUE ROMA THYPOID
NCB SMK NCB SMK KONTRAKSI SC BSC 1X
DIGO FEVER PINGGANG FEVER
IMPARTUS KIRI
RB KEB RB LT3 LT3 KEB LT3 KEB
DR LILLY DR BONA DR LILLY DR TITA DR RONY DR WISNU DR TITA DR IRSAN
2/3/2020 2/4/2020 2/4/2020 2/4/2020 2/5/2020 2/5/2020 2/4/2020 2/5/2020

2/5/2020 2/6/2020 2/6/2020 2/6/2020 2/6/2020 2/7/2020 2/6/2020 2/7/2020
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
0 1 1 1 0 0
1 1 1
1 1
1 1
1 1
1
1
1 1
1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
11 5 11 16 21 18 15 28
0 2 0 0 0 0 1 1
11 7 11 16 21 18 16 29
19 20 21 22 23 25 26
178774 178779 178780 178408 178406 144649 178697
G1P0A0
ANEMIA ANEMIA
BEKAS SC + HAMIL 40-
NCB SMK NCB SMK RENAL + CKD RENAL + CKD CKD ON HD
KPD 41 MINGGU
ON HD ON HD
SC
RB KEB RB LT2 LT2 LT3 KEB
DR LILLY DR IRSAN DR LILLY DR ENY DR TAUFAN DR TAUFAN DR WISNU
2/5/2020 2/5/2020 2/5/2020 2/7/2020 2/7/2020 2/7/2020 2/3/2020

2/7/2020 2/7/2020 2/7/2020 2/8/2020 2/8/2020 2/8/2020 2/5/2020
1 1 1 1 1 1 1
1 1 1 0 0 0 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 0 0 1 1
1 1 1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1
1 0 1 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1
1 1 1 1 1 0 1
1 1 1 1 0 0 1
1 1 1
1 1 1
1 1 1 0 1 1 1
1 1 1 1 1 1 1
1 1 1 0 1 1 1
12 29 11 14 15 15 28
0 1 0 5 3 3 0
12 30 11 19 18 18 28
27 28 29 30 31 32 33 34
178704 178669 178670 178677 178678 178715 178716 131427
G3P1A1
G3P2A0 G3P2A0 40
HAMIL 38
HAMIL 38 MINGGU FEBRIS +
MINGGU
NCB SMK MINGGU NCB SMK NCB SMK BSC NCB SMK LOW
DENGAN
DENGAN DENGAN INTAKE
KPD + BSC
BSC 2X KPD
1X
RB KEB RB KEB RB KEB RB LT2
DR LILLY DR IRSAN DR LILLY DR IRSAN DR LILLY DR WISNU DR LILLY DR BETTY
2/3/2020 2/3/2020 2/3/2020 2/3/2020 2/3/2020 2/4/2020 2/4/2020 2/6/2020

2/5/2020 2/5/2020 2/5/2020 2/5/2020 2/5/2020 2/6/2020 2/6/2020 2/8/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1
1 1 0
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
11 29 11 29 9 29 10 21
0 0 0 0 1 1 0 0
11 29 11 29 10 30 10 21
35 36 37 38 39 40 41 42
178437 178907 178908 178905 178793 129735 178227 178548
G4P2A1 ABSES G1P0A0 H±

TUMOR G1P0A0 37 HAMIL 38- COLI 40 MINGGU
HEPATITIS
MAMAE MINGGU NCB SMK 39 MINGGU APP INFEKSI DENGAN
A
SINISTRA KPD DENGAN AKUT POST
KPD + DHK SINISTRA MATURE
LT3 130 RB KEB LT2 LT2 LT3 136
DR SAMUEL DR WISNU DR LILLY DR IRSAN DR TITA DR TAUFAN DR SAMUEL DR BONA
2/7/2020 2/8/2020 2/8/2020 2/8/2020 2/5/2020 2/5/2020 2/3/2020 2/2/2020

2/9/2020 2/10/2020 2/10/2020 2/10/2020 2/8/2020 2/6/2020 2/5/2020 2/4/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1
1 1 1 1 1
1 0 1 1 0
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1
1 1
1 1
1 0 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
31 28 8 29 16 19 28 24
1 3 0 1 0 0 0 3
32 31 8 30 16 19 28 27
43 44 45 46 47 48 49
178864 178373 178668 178493 178906 178923 178924
G3P1A1 9 G6P4A1
MINGGU HAMIL
CKD STAGE FIMOSIS
DENGAN AB DYSPEPSIA NCB SMK ATERM NCB SMK
V + ANEMIA SEKUNDER
INCOMPLET DENGAN SC
E + STERIL
130 LT2 LT3 LT3 RB KEB RB
DR WISNU DR BETTY DR ETRA DR BETTY DR LILLY DR WISNU DR LILY
2/7/2020 2/4/2020 2/3/2020 2/8/2020 2/8/2020 2/8/2020 2/8/2020

2/8/2020 2/5/2020 2/5/2020 2/9/2020 2/10/2020 2/10/2020 2/10/2020
1 1 1 1
1 1 1 1 0 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1
0 1 1
1
1 1
1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1
0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 0 1 1
24 19 16 20 8 30 9
2 0 0 0 2 0 0
26 19 16 20 10 30 9
50 51 52 53 54 55 56
178927 178855 147031 178875 178877 178878 178849
G1P0A0 8 G4P3A0
G2P1A0 37 G1P0A0 38
MINGGU HAMIL
MINGGU DM + LOW MINGGU
NCB SMK DENGAN AB NCB SMK ATERM
DENGAN INTAKE DENGAN
INCOMPLET DENGAN
BSC + KPD KPD
E KPD BSC
KEB RB LT2 130 KEB RB KEB
DR WISNU DR LILLY DR BETTY DR WISNU DR WISNU DR LILLY DR WISNU
2/8/2020 2/7/2020 2/6/2020 2/7/2020 2/7/2020 2/7/2020 2/7/2020

2/10/2020 2/9/2020 2/8/2020 2/8/2020 2/9/2020 2/9/2020 2/9/2020
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 0
1 1 1 0
1 1 1 1
1 1 1
1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 0 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
28 9 21 22 30 10 28
0 0 0 1 0 0 2
28 9 21 23 30 10 30
57 58 59 60 61 62 63
178850 178853 178852 178936 178935 178889 178888
G1P0A0 40
G1P0A0 39
MINGGU
MINGGU
NCB SMK DENGAN NCB SMK NCB SMK NCB SMK G3P2A0
DENGAN
LETSU +
BSC
KPD
RB 136 RB RB 130 RB KEB
DR LILLY DR WISNU DR LILLY DR LILLY DR BONA DR LILLY DR WISNU
2/7/2020 2/7/2020 2/7/2020 2/8/2020 2/8/2020 2/7/2020 2/7/2020

2/9/2020 2/9/2020 2/9/2020 2/10/2020 2/10/2020 2/9/2020 2/9/2020
1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 0 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 0 1
1 1 1 1 1 1 1
1 1 1 1 0 1 1
10 30 10 10 28 9 30
0 0 0 0 2 1 0
10 30 10 10 30 10 30
64 65 66 67 68 69 70
178411 178934 178706 178288 177378 178387 178388
P1A0
CKD STAGE HILL DENGAN CKD ON HD
NCB SMK DHF VERTIGO
V + ANEMIA SINISTRA KISTA + ANEMIA
OVARIUM
LT2 RB 207 LT2 130 303 203
DR BETTY DR LILLY DR ETRA DR SAMUEL DR BONA DR BETTY DR TAUFAN
2/4/2020 2/8/2020 2/3/2020 2/2/2020 2/3/2020 2/4/2020 2/5/2020

2/5/2020 2/10/2020 2/8/2020 2/5/2020 2/6/2020 2/5/2020 2/7/2020
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1 1
1 0
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 0
1 1
1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 0 1
1 1 1 1
1 1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1 1 0 1 1
1 0 1 1 1 1 1
1 1 1 1 1 1 1
22 9 22 32 26 18 20
0 1 0 0 3 1 0
22 10 22 32 29 19 20
71 72 73 74 75 76 77 78
178672 178795 178851 178892 178891 178851 178668 178762
DYSPESIA
G1P0A0
PRO SC PRO SC +
TUMOR HAMIL 39
PROLONGE PAKET PAKET GETRIATRI
MAMAE NCB SMK MNGGU DHF
D FEVER G1P0A0 34 G1P0A0 34 PROBLEM
DEXTRA DENGAN
MINGGU MINGGU + INTAKE
OLIGO
SULIT
205 206 130 RB 130 130 305 206
DR SAMUEL DR TITA DR BONA DR LILLY DR WISNU DR BONA DR ETRA DR RESITA
2/7/2020 2/5/2020 2/7/2020 2/7/2020 2/7/2020 2/7/2020 2/3/2020 2/4/2020

2/9/2020 2/8/2020 2/9/2020 2/9/2020 2/9/2020 2/9/2020 2/5/2020 2/8/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 1 1 1 1 1 1
1 1 0 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1 1 1
1 1 1 1
1 1 0
1 1 1
1 1 1 0
1 1 1 1
1 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1
1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
30 17 29 10 29 25 17 14
1 0 1 0 1 2 1 0
31 17 30 10 30 27 18 14
79 80 81 82 83 84 85 86
178978 44659 149089 179065 178964 179074 179076 178461
G2P1A0
G3P1A1
HAMIL
HAMIL38
ATERM GEA +OBS THYPOID + TUMOR DHF GRADE BSC 2X +
MINGGU NCB SMK
DENGAN FEBRIS ISPA PAYUDARA II KPD
DENGAN
GAWAT
KPD
JANIN
130 308 304 305 302 130 RB 136
DR IRSAN DR ETRA DR ETRA DR RONY DR LILLY DR WISNU DR LILLY DR WISNU
2/10/2020 2/10/2020 2/3/2020 2/12/2020 2/10/2020 2/11/2020 2/11/2020 2/11/2020

2/12/2020 2/12/2020 2/5/2020 2/13/2020 13/02/32020 2/13/2020 2/13/2020 2/13/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1
1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
31 17 16 21 16 30 9 30
0 0 1 0 0 0 0 0
31 17 17 21 16 30 9 30
87 88 89 91 93 94 95 97
179034 163168 179083 179009 131681 178224 178634 178628
HEMAMIOM INTAKE
LAPARATO
NCB SMK NCB SMK A GE SULIT + NCB SMK NCB SMK
MI + KPD
TEMPORAL FEBRIS
RB 130 RB 206 203 302 RB RB
DR LILLY DR WISNU DR LILLY DR RONY DR ETRA DR RESITA DR LILLY DR LILLY
2/11/2020 2/12/2020 2/12/2020 2/12/2020 2/10/2020 2/8/2020 2/3/2020 2/2/2020

2/13/2020 2/14/2020 2/14/2020 2/13/2020 2/12/2020 2/12/2020 2/5/2020 2/4/2020
1 1 1 1
1 1 1 1 1 1 1 0
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 0 1 1
1 1
1 1
1 1
1
1
1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1
0 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1
1 1 1 1 1 1 0 0
1 1 1 1 1 1 0 0
1 1 1 1 1 1 0 0
10 30 11 21 21 15 7 6
0 0 0 4 0 0 3 4
10 30 11 25 21 15 10 10
98 99 100 101 102 103 104 105
141741 178621 178627 178737 178738 178742 178743 178644
G1P0A0 G1P0A0 G4B3A0

HAMIL + 12 HAMIL HAMIL 38
MINGGU ANTERM PRO SC MINGGU
SC BSC NCB SMK NCB SMK NCB SMK
DENGAN DENGAN PAKET DENGAN
AB GAGAL KPD ± 12
INKOMPLIT INDUKSI JAM
KEB RB KEB KEB RB KEB RB KEB
DR BONA DR LILLY DR WISNU DR BONA DR LILLY DR IRSAN DR LILLY DR WISNU
2/2/2020 2/2/2020 2/2/2020 2/4/2020 2/4/2020 2/4/2020 2/4/2020 2/3/2020

2/4/2020 2/4/2020 2/3/2020 2/6/2020 2/6/2020 2/6/2020 2/6/2020 2/5/2020
1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 0 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 0 1 1 1 1 1 1
30 6 31 27 11 29 11 30
1 4 0 2 0 1 0 0
31 10 31 29 11 30 11 30
106 107 108 109 110 112 113 114
178645 178554 178554 178745 178384 178808 178734 178684
SC NEOROFIB
DENGAN DENGUE ROMA THYPOID
NCB SMK NCB SMK KONTRAKSI SC BSC 1X
DIGO FEVER PINGGANG FEVER
IMPARTUS KIRI
RB KEB RB LT3 LT3 KEB LT3 KEB
DR LILLY DR BONA DR LILLY DR TITA DR RONY DR WISNU DR TITA DR IRSAN
2/3/2020 2/4/2020 2/4/2020 2/4/2020 2/5/2020 2/5/2020 2/4/2020 2/5/2020

2/5/2020 2/6/2020 2/6/2020 2/6/2020 2/6/2020 2/7/2020 2/6/2020 2/7/2020
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
0 1 1 1 0 0
1 1 1
1 1
1 1
1 1
1
1
1 1
1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
11 5 11 16 21 18 15 28
0 2 0 0 0 0 1 1
11 7 11 16 21 18 16 29
115 116 117 118 119 121 122 123
178774 178779 178780 178408 178406 144649 178697 178704
G1P0A0
ANEMIA ANEMIA
HAMIL 40-
BEKAS SC RENAL + RENAL + CKD ON
NCB SMK NCB SMK 41 NCB SMK
+ KPD CKD ON CKD ON HD
MINGGU
HD HD
SC
RB KEB RB LT2 LT2 LT3 KEB RB

DR DR DR
DR LILLY DR IRSAN DR LILLY DR WISNU DR LILLY
TAUFAN TAUFAN TAUFAN
2/5/2020 2/5/2020 2/5/2020 2/7/2020 2/7/2020 2/7/2020 2/3/2020 2/3/2020
2/7/2020 2/7/2020 2/7/2020 2/8/2020 2/8/2020 2/8/2020 2/5/2020 2/5/2020
1 1 1 1 1 1 1 1
1 1 1 0 0 0 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 0 0 1 1
1 1 1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 0 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1 1 1 1 0 1 1
1 1 1 1 0 0 1 1
1 1 1
1 1 1
1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1
12 29 11 14 15 15 28 11
0 1 0 5 3 3 0 0
12 30 11 19 18 18 28 11
124 125 126 127 128 129 130 131
178669 178670 178677 178678 178715 178716 131427 178437
G3P1A1
G3P2A0 G3P2A0 40
HAMIL 38
HAMIL 38 MINGGU FEBRIS + TUMOR
MINGGU
MINGGU NCB SMK NCB SMK BSC NCB SMK LOW MAMAE
DENGAN
DENGAN DENGAN INTAKE SINISTRA
KPD + BSC
BSC 2X KPD
1X
KEB RB KEB RB KEB RB LT2 LT3

DR
DR IRSAN DR LILLY DR IRSAN DR LILLY DR WISNU DR LILLY DR BETTY
SAMUEL
2/3/2020 2/3/2020 2/3/2020 2/3/2020 2/4/2020 2/4/2020 2/6/2020 2/7/2020
2/5/2020 2/5/2020 2/5/2020 2/5/2020 2/6/2020 2/6/2020 2/8/2020 2/9/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1
1 1 0 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1
1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
29 11 29 9 29 10 21 32
0 0 0 1 1 0 0 0
29 11 29 10 30 10 21 32
132 133 134 135 136 137 138 139
178907 178908 178905 178793 129735 178227 178548 178864
G3P1A1 9
G4P2A1 ABSES G1P0A0 H±
G1P0A0 37 MINGGU
HAMIL 38- COLI 40 MINGGU
MINGGU HEPATITIS DENGAN
NCB SMK 39 MINGGU APP INFEKSI DENGAN
KPD 18 A AB
DENGAN AKUT POST
JAM INCOMPLE
KPD + DHK SINISTRA MATURE
TE
KEB RB 130 LT2 LT2 LT3 KEB KEB

DR
DR WISNU DR LILLY DR IRSAN DR TITA DR TAUFAN DR BONA DR WISNU
SAMUEL
2/8/2020 2/8/2020 2/8/2020 2/5/2020 2/5/2020 2/3/2020 2/2/2020 2/7/2020
2/10/2020 2/10/2020 2/10/2020 2/8/2020 2/6/2020 2/5/2020 2/4/2020 2/8/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1
31 8 28 16 19 28 27 26
0 0 2 0 0 0 0 0
31 8 30 16 19 28 27 26
140 141 142 143 144 145 146 147
178373 178668 178493 178906 178923 178924 178927 178855
G6P4A1
HAMIL G2P1A0 37
CKD
FIMOSIS ATERM MINGGU
STAGE V + DYSPEPSIA NCB SMK NCB SMK NCB SMK
SEKUNDER DENGAN DENGAN
ANEMIA
SC + BSC + KPD
STERIL
LT2 LT3 LT3 RB KEB RB KEB RB
DR BETTY DR SELLA DR BETTY DR LILLY DR WISNU DR LILY DR WISNU DR LILLY
2/4/2020 2/3/2020 2/8/2020 2/8/2020 2/8/2020 2/8/2020 2/8/2020 2/7/2020

2/5/2020 2/5/2020 2/9/2020 2/10/2020 2/10/2020 2/10/2020 2/10/2020 2/9/2020
1 1 1 1
1 1 1 0 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1
19 16 20 8 30 9 28 9
0 0 0 2 0 0 0 0
19 16 20 10 30 9 28 9
148 149 150 151 152 153 154 155
147031 178875 178877 178878 178849 178850 178853 178852
G1P0A0 8
G4P3A0 G1P0A0 40
MINGGU G1P0A0 38
HAMIL MINGGU
DM + LOW DENGAN MINGGU
NCB SMK ATERM NCB SMK DENGAN NCB SMK
INTAKE AB DENGAN
DENGAN LETSU +
INCOMPLE KPD
KPD BSC KPD
TE
LT2 KEB KEB RB KEB RB KEB RB
DR BETTY DR WISNU DR WISNU DR LILLY DR WISNU DR LILLY DR WISNU DR LILLY
2/6/2020 2/7/2020 2/7/2020 2/7/2020 2/7/2020 2/7/2020 2/7/2020 2/7/2020

2/8/2020 2/8/2020 2/9/2020 2/9/2020 2/9/2020 2/9/2020 2/9/2020 2/9/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 0 1
1 1 0 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
21 23 30 10 28 10 30 10
0 0 0 0 2 0 0 0
21 23 30 10 30 10 30 10
156 157 158 159 160 161 162 163
178936 178935 178889 178888 178411 178934 178706 178288
G1P0A0 39
CKD
MINGGU HILL
NCB SMK NCB SMK G3P2A0 STAGE V + NCB SMK DHF
DENGAN SINISTRA
ANEMIA
BSC
RB KEB RB KEB LT2 RB 203 LT2

DR
DR LILLY DR BONA DR LILLY DR WISNU DR BETTY DR LILLY DR YULIUS
SAMUEL
2/8/2020 2/8/2020 2/7/2020 2/7/2020 2/4/2020 2/8/2020 2/3/2020 2/2/2020
2/10/2020 2/10/2020 2/9/2020 2/9/2020 2/5/2020 2/10/2020 2/8/2020 2/5/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1
1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
10 30 10 30 22 9 22 32
0 0 0 0 0 1 0 0
10 30 10 30 22 10 22 32
164 165 166 167 168 169 170 171
177378 178387 178388 178672 178795 178851 178892 178891
G1P0A0
P1A0 PRO SC
TUMOR HAMIL 39
DENGAN CKD ON HD PROLONGE PAKET
VERTIGO MAMAE NCB SMK MNGGU
KISTA + ANEMIA D FEVER G1P0A0 34
DEXTRA DENGAN
OVARIUM MINGGU
OLIGO
130 303 203 205 206 130 RB 130

DR
DR BONA DR BETTY DR TAUFAN DR LILLY DR BONA DR LILLY DR WISNU
SAMUEL
2/3/2020 2/4/2020 2/5/2020 2/7/2020 2/5/2020 2/7/2020 2/7/2020 2/7/2020
2/6/2020 2/5/2020 2/7/2020 2/9/2020 2/8/2020 2/9/2020 2/9/2020 2/9/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 0 1 1
1 1 1 1 1 0 1
1 1 1 1
1 1 1 1
0
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 0
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1
1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
29 18 20 31 13 29 10 29
0 1 0 0 5 1 0 1
29 19 20 31 18 30 10 30
172 173 174 176 177 178 179 188
178438 177644 178947 178943 178942 178941 178940 178762
KEJANG
ULKUS SC KPD +
DEMAM
KLURIS NCB SMK NCB SMK GAGAL NCB SMK SC KPD DHF
SEDERHAN
SINISTRA INDUKSI
A
206 203 RB RB 130 RB 130 206

DR
DR LILLY DR LILLY DR LILLY DR BONA DR LILLY DR IRSAN DR RESITA
SAMUEL
1/28/1900 2/2/2020 2/9/2020 2/9/2020 2/9/2020 2/9/2020 2/9/2020 2/4/2020
2/4/2020 2/4/2020 2/11/2020 2/11/2020 2/11/2020 2/11/2020 2/11/2020 2/8/2020
1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 0
1 0 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
0 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 0 0 0 1 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 0
1
1 1
1 1 1 1 1 1 1
1 1 1 1 0 1 1
1 1
1 1 1 1 1 1 1 0
1 0 0 0 1 0 1 0
1 1 0 0 1 0 1
17 27 7 7 22 5 30 12
0 5 3 3 0 5 0 6
17 32 10 10 22 10 30 18
193 194 196 197 198 199 200 201
159192 178617 178614 178600 178609 149089 178610 178719
G5P1A3
SC DEMAM HAMIL
DENGAN NCB SMK NCB SMK SC KPD KPD + CPD TYPHOID+ NCB SMK 13MG DGN
KPD ISPA ABORTUS
INKOMPLIT
135 RB RB 130 136 304 RB 130
DR WISNU DR LILLY DR LILLY DR WISNU DR IRSAN DR ETRA DR LILLY DR WISNU
02/20/2020 2/2/2020 2/2/2020 2/1/2020 2/1/2020 2/3/2020 2/1/2020 2/4/2020

2/4/2020 2/4/2020 2/4/2020 2/3/2020 2/3/2020 2/5/2020 1/3/2020 2/4/2020
1 1 1 1 0
1 0 0 1 1 0 0 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 0 1 1 1
1 1 1 1
1 1 1 1
1 1 0 1
1 1 1
1 1 1
1 1 1 0
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 1 1 0 0 0
1 0 0 1 1 0 0 0
1 0 0 1 1 1 0 1
29 6 6 29 28 13 6 21
0 4 4 1 1 4 4 5
29 10 10 30 29 17 10 26
202 203 205 206 210 211 212 213
178667 178625 178608 178945 178052 64087 179024 179022
OBS OBS
ABDOMEN+
BRONKITIS FEBRIS+SU FEBRIS +
NCB SMK ANEMIA SUSP NCB SMK VK II
AKUT SP DHF BRONCHITI
GERD
5HRI S KRONIS
203 302 306 RB 203 307 RB 130

DR
DR LILLY DR ETRA DR LILLY DR ETRA DR ETRA DR LILLY DR WISNU
RAHMAT
2/3/2020 2/2/2020 2/1/2020 2/9/2020 2/3/2020 2/5/2020 2/10/2020 2/10/2020
2/5/2020 2/5/2020 2/4/2020 2/11/2020 3/5/2020 2/7/2020 2/12/2020 2/12/2020
1 1 1 0 1 1
1 1 1 1 1 0 0 0
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 0 0 0
1 1 1 0 1 1
1 1 1 1 0
1
0
0 0 1 0 0 0 1
1 1 1 1 1 0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 0
1 1
1 1
1 0 1 0 0 0 0 0
1 0 1 0 0 0 0 0
1 1 1 0 1 1 0
20 14 18 6 13 10 3 10
1 3 0 4 7 5 6 7
21 17 18 10 20 15 9 17
214 215 216 217 218 219 220 221
178978 178973 178814 44659 178946 13200 133373 178655
GIIP1AO
HML
VERTIGO+ STT +
ATERM GEA+OBS BSC VOMITUS +
NCB SMK GEA OBS PEDIS
DGN FEBRIS 1X+KPD ISPA
VOMITUS DEXTRA
GAWAT
JANIN
130 RB 303 308 136 305 207 311

DR DR
DR IRSAN DR LILLY DR ETRA DR ETRA DR WISNU DR ETRA
BAMBANG SAMUEL
2/10/2020 2/10/2020 2/6/2020 2/10/2020 2/9/2020 2/3/2020 2/9/2020 2/8/2020
2/12/2020 2/12/2020 2/11/2020 2/12/2020 2/11/2020 2/5/2020 2/12/2020 2/9/2020
0 0 1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 1 1 1 1
1 1 1 1 1 1 1
1 1 1 0 1 1 1
1 1 1
1 1
1 1 1
1 1
1 1
0 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 0 0 1 1 1
0 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1
1
1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 0 1 1 1
1 1
0 0 0 0 0 0 1 1
0 0 1 1 0 0 1 1
1 1 1 1 1 1 1 1
25 7 14 13 26 15 20 20
5 4 4 4 4 2 0 0
30 11 18 17 30 17 20 20
222 223 224 225 226 227 228 229
174170 154915 179086 167524 178532 178635 178664 178861
PRO
G2P1A0
FEBRIS + KURET CKD ON HD
LAPARATO HAMIL 9
VIRAL DENGAN FEBRIS STT + NCB SMK
MI MINGGU AB
INFECTION MENOMET TRANFUSI
INCOMPLIT
ROHAGIA
311 130 130 136 203 304 203 RB
DR LILLY DR WISNU DR IRSAN DR WISNU DR BUDI DR SAMUEL DR ENY DR LILLY
2/9/2020 12/020/2020 2/13/2020 2/12/2020 2/8/2020 2/9/2020 2/10/2020 2/7/2020

2/12/2020 2/14/2020 2/14/2020 2/13/2020 2/12/2020 2/11/2020 2/11/2020 2/9/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1
1
1 1
1 1 1
1 1
1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1
1 1 0 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
17 30 20 27 19 28 23 9
0 0 2 0 0 0 0 2
17 30 22 27 19 28 23 11
230 231 232 233 234 235 236
13200 135136 64087 179018 163168 178953 44659
INTAKE
DM TYPE II SULIT
VERTIGO + OBS DENGAN DEMAM 4 KISTA CONSTIPAS GEA + OBS
GERD
VOMITUS RIWAYAT HT + HARI OVARIRUM I+ FEBRIS
SUSP BP HIPOKALE
MI
305 207 307 206 130 207 308
DR BAMBANG DR BUDI DR ETRA DR RESITA DR WISNU DR ETRA DR ETRA
2/3/2020 2/1/2020 2/5/2020 2/10/2020 2/12/2020 2/9/2020 2/10/2020

2/5/2020 2/3/2020 2/7/2020 2/13/2020 2/14/2020 2/11/2020 2/12/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 0 1
1 1
1
1
1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
17 20 17 16 30 22 16
0 0 0 0 0 1 0
17 20 17 16 30 23 16
237 238 239 240 241 242 243 244
179115 179196 126208 179064 179101 178682 178607 175152
CHF CAD
DHF INFEKSI
DHF CKD STAGE PROLOGNE CKD STAGE CKD ON
DEMAM BAKTERI NCB SMK
GRADE II V + ANEMIA D FEVER V ON HD FEVER
THYPOID NON
SPESIFIK
206 310 205 205 206 RB 207 207
DR LILLY DR BUDI DR ENY DR ETRA DR LILLY DR LILLY DR ENY DR ENY
2/12/2020 2/14/2020 2/14/2020 2/11/2020 2/12/2020 2/10/2020 2/5/2020 2/6/2020

2/15/2020 2/16/2020 2/15/2020 2/14/2020 2/14/2020 2/14/2020 2/6/2020 2/8/2020
1 1 1 1 1 1 1
1 1 0 1 1 1 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 1 1 1 1
1 1 1 1 1 1 0
0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1
1 1 0 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
17 16 16 22 20 10 20 17
0 0 5 0 0 0 1 4
17 16 21 22 20 10 21 21
245 246 247 248 249 250 251 252
179161 179175 178980 179087 179133 151828 159192 179037
G1P0A0
HAMIL 38- SC KPD + SC
DHF DM DAN
39 MINGGU HBS AG DENGAN DHF BSC KPD
GRADE I VOMITUS
DENGAN POSITIF KPD SUSP
KPD TB PARU
207 130 136 136 205 202 136 203
DR ETRA DR IRSAN DR BONA DR WISNU DR ETRA DR ENDAH DR WISNU DR ETRA
2/13/2020 2/13/2020 2/10/2020 2/12/2020 2/12/2020 2/9/2020 2/2/2020 2/11/2020

2/15/2020 2/15/2020 2/14/2020 2/14/2020 2/15/2020 2/13/2020 2/4/2020 2/12/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
21 30 31 29 21 20 30 20
0 0 0 0 0 0 0 0
21 30 31 29 21 20 30 20
253 254 255 256 257 258 259 260
178681 178604 178879 179184 179223 179131 179183 179263
THYPOID
FEVER + DBS
ABORTUS
BSC 2X OBS INFEKSI FEBRIS + BRONKITIS FEBRIS EC SC KPD +
INCOMPLE
STERIL THYPOID BAKTERI DM AKUT VIRAL BSC 2X
T
NON INFECTION
SPESIFIK
135 135 206 207 313 204 206 130
DR IRSAN DR WISNU DR LILLY DR ETRA DR BUDI DR RAHMAT DR RESITA DR IRSAN
2/9/2020 2/1/2020 2/7/2020 2/13/2020 2/14/2020 2/12/2020 2/13/2020 2/15/2020

2/11/2020 2/2/2020 2/12/2020 2/16/2020 2/16/2020 2/17/2020 2/17/2020 2/17/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 1
1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
27 23 17 18 17 19 15 29
0 0 0 2 1 0 2 1
27 23 17 20 18 19 17 30
261 262 263 264 265 266 267 268
179217 178911 179264 176204 138425 179246 177943 179194
FEBRIS
TUMOR TUMOR VOMITUS
THYPOID
NCB SMK AXILA NCB SMK BSC + KPD NCB SMK MAMAE INFEKSI
FEVER
DEXTRA DEXTRA VIRUS NON
SPESIFIK
RB 203 RB 304 135 RB 203 305
DR LILLY DR SAMUEL DR LILLY DR ETRA DR WISNU DR LILLY DR SAMUEL DR ETRA
2/14/2020 2/14/2020 2/15/2020 2/13/2020 2/15/2020 2/14/2020 2/14/2020 2/13/2020

2/17/2020 2/17/2020 2/17/2020 2/15/2020 2/17/2020 2/17/2020 2/16/2020 2/16/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 1 1 1
1 1 0 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 0
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 31 10 17 28 10 30 17
0 1 0 0 1 0 1 0
10 32 10 17 29 10 31 17
269 270 271 272 273 274 275 276
148748 179212 179253 179252 150173 179237 179284 179285
SC OLIGO +
SC + BSC
DENGAN NCB SMK NCB SMK BSC 3X NCB SMK POST NCB SMK
2X
KPD 12JAM MATURE
135 RB RB 130 130 RB 135 RB
DR WISNU DR LILLY DR LILLY DR IRSAN DR WISNU DR LILLY DR WISNU DR LILLY
2/15/2020 2/14/2020 2/15/2020 2/15/2020 2/15/2020 2/15/2020 2/15/2020 2/15/2020

2/17/2020 2/17/2020 2/17/2020 2/17/2020 2/17/2020 2/17/2020 2/17/2020 2/17/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
27 10 10 30 30 10 30 10
0 0 0 0 0 0 0 0
27 10 10 30 30 10 30 10
277 278 279 280 281 282 283
179231 179232 179303 178982 179176 179008 175839
G3P2A0
HAMIL
ABORTUS TUBERCULOS CKD STAGE
ATERM NCB SMK NCB SMK NCB SMK
INKOMPLIT IS PARU V + ANEMIA
DENGAN
KPD
130 RB 130 RB RB 202 207
DR IRSAN DR LILLY DR WISNU DR LILLY DR LILLY DR RAHMAT DR ENY
2/14/2020 2/14/2020 2/16/2020 2/10/2020 2/13/2020 2/10/2020 2/14/2020

2/16/2020 2/17/2020 2/17/2020 2/14/2020 2/15/2020 2/15/2020 2/15/2020
1 1 1 1
1 1 1 1 1 1 0
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
0 1 1 1
1 1
1 1
1
1
1 1
1
1 1
1 1
1 1
1 1 1 1 1 1 1
0 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 0
1 1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 0 1 1 0 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
28 9 23 10 8 20 18
2 1 0 0 1 0 2
30 10 23 10 9 20 20
284 285 286 287 288 289 290
179038 176330 179259 178550 179269 179313 179236
CKD STAGE KEJANG SC KPD 12

CHF + DM NCB SMK BSC 2X VERTIGO
V + ANEMIA DEMAM JAM
304 304 RB 136 206 130 203
DR AULIA DR ENY DR LILLY DR BONA DR RESITA DR WISNU DR BAMBANG
2/11/2020 2/14/2020 2/15/2020 2/14/2020 2/15/2020 2/16/2020 2/15/2020

2/13/2020 2/15/2020 2/17/2020 2/17/2020 2/17/2020 2/18/2020 2/17/2020
1 1 1 1 1 1
0 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 0
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1
1 0 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
17 18 10 29 17 29 20
1 1 0 0 0 0 1
18 19 10 29 17 29 21
291 292 293 294 295 296 297 298
153013 179288 179125 179310 179309 179312 179311 179301
FEBRIS + SC
SC +
DBD + SC KPD 12 DENGAN
DHF DBD NCB SMK GAWAT NCB SMK
DEMAM JAM GAWAT
JANIN
THYPES JANIN
203 204 303 RB 130 RB 130 130
DR BUDI DR ETRA DR RESITA DR LILLY DR WISNU DR LILLY DR WISNU DR WISNU
2/14/2020 2/16/2020 2/12/2020 2/16/2020 2/16/2020 2/16/2020 2/16/2020 2/16/2020

2/17/2002 2/18/2020 2/17/2020 2/18/2020 2/18/2020 2/18/2020 2/18/2020 2/18/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
17 19 16 10 29 10 28 28
2 0 0 0 0 0 0 0
19 19 16 10 29 10 28 28
299 300 301 302 303 304 305 306
179302 179314 178186 179229 179091 179144 179145 172553
ANEMIA
PEB
KEJANG RENAL
NCB SMK NCB SMK DENGAN NCB SMK BSC + KPD NCB SMK
DEMAM DENGAN
SC KPD
CKD ON HD
RB RB 136 206 RB 130 RB 207
DR LILLY DR LILLY DR BONA DR RESITA DR LILLY DR WISNU DR LILLY DR ENY
2/16/2020 2/16/2020 2/14/2020 2/14/2020 2/12/2020 2/13/2020 2/13/2020 2/12/2020

2/18/2020 2/18/2020 2/17/2020 2/16/2020 2/14/2020 2/15/2020 2/15/2020 2/13/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
10 10 29 17 10 30 10 17
0 0 0 0 0 0 0 2
10 10 29 17 10 30 10 19
307 308 309 310 311 312 313
178316 179075 173726 179094 179095 45860 179299
CKD ON HD CKD ON HD
SC +
DAN DAN OBS
STROKE GAWAT BRONCHITIS
ANEMIA ANEMIA NCB SMK FEBRIS E.C
INTAKE JANIN + KRONIS
POST POST DHF
LETSU
TRANSFUSI TRANSFUSI
207 203 203 130 RB 310 306
DR ENY DR PARAMITA DR ENY DR WISNU DR LILLY DR RAHMAT DR RESITA
2/13/2020 2/11/2020 2/13/2020 2/12/2020 2/12/2020 2/18/2020 2/16/2020

2/14/2020 2/13/2020 2/14/2020 2/14/2020 2/14/2020 2/19/2020 2/19/2020
1 1 1 1 1 1
1 1 1 1 1 0 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 0 1
1 1 1 1 1 1
1
1
1
1
1
1 1 1 1 1 0 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1 1 1 1 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
20 20 20 29 10 12 18
0 0 0 1 0 4 0
20 20 20 30 10 16 18
314 315 316 317 318 319 320 321
179287 179226 178807 179306 179332 179333 159764 178833
G1P0A0
DYSPNEU + HAMIL SELULITIS
DHF + BSC 1X +
PNEUMONI NCB SMK ATERM NCB SMK GEA PEDIS
THYPOID KPD
A + FEBRIS DENGAN DEXTRA
KPD
207 313 136 RB 130 RB 312 207
DR ENDAH DR BUDI DR WISNU DR LILLY DR WISNU DR LILLY DR ETRA DR RONY
2/15/2020 2/14/2020 2/16/2020 2/16/2020 2/17/2020 2/17/2020 2/13/2020 2/6/2020

2/19/2020 2/18/2020 2/19/2020 2/18/2020 2/19/2020 2/19/2020 2/15/2020 2/13/2020
1 1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
20 17 29 10 29 8 17 26
0 0 0 0 0 1 0 0
20 17 29 10 29 9 17 26
322 323 324 325 326 327 328 329
178988 175138 179117 179173 177517 179364 179365 179430
SOFT
AB GIANT GAWAT ABORTUS
DHF TISSUE DM TYPE II NCB SMK
INKOMPLIT TUMOR JANIN INKOMPLIT
TUMOR
312 130 305 304 207 136 RB 136
DR ETRA DR WISNU DR RONY DR I MADE DR ETRA DR WISNU DR LILLY DR IRSAN
2/10/2020 2/13/2020 2/19/2020 2/19/2020 2/17/2020 2/18/2020 2/18/2020 2/19/2020

2/14/2020 2/14/2020 2/20/2020 2/20/2020 2/20/2020 2/20/2020 2/20/2020 2/20/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 0 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1
0
1 1 1
1
1 1 1
1
1 1
1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1
1
1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
18 22 19 20 21 29 8 25
0 1 3 1 0 0 2 0
18 23 22 21 21 29 10 25
330 331 332 333 334 335 337
159337 173660 179363 179357 153418 141164 45860
DIARE
FEBRIS + AKUT + BRONCHITIS
VERTIGO VERTIGO TB PARU DHF
DHF VIRAL KRONIS
INFECTION
307 305 309 203 202 207 310
DR ETRA DR BAMBANG DR LILLY DR BAMBANG DR ENDAH DR ETRA DR RAHMAT
2/16/2020 2/15/2020 2/18/2020 2/17/2020 31/02/2020 2/17/2020 2/18/2020

2/20/2020 2/19/2020 2/20/2020 2/15/2020 2/1/2020 2/19/2020 2/19/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 0
1 1 1 1 1 1
1 0 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 0
1 1 1 1 1 1 0
1 1 1 1 1 1 1
16 16 16 20 19 20 13
0 1 0 0 0 0 3
16 17 16 20 19 20 16
337 338 339 340 341 342 343
157897 179442 178931 179391 179315 179349 179348
MENOMET
OPEN FEBRIS +
ORAGIA BRONCHITI DENGUE
VERTIGO SC + KPD FRAKTUR VIRAL
SUSPHYPE S FEVER
DIGITI I INFECTION
RPLASIA
304 130 135 302 305 311 311
DR BAMBANG DR IRSAN DR WISNU DR LILLY DR I MADE DR ETRA DR LILLY
2/15/2020 2/19/2020 2/21/2020 2/18/2020 2/18/2020 2/17/2020 2/17/2020

2/20/2020 2/21/2020 2/22/2020 2/20/2020 2/21/2020 2/20/2020 2/20/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
0
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 0 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1
1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 0 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
16 29 25 14 28 17 17
0 1 0 1 1 0 0
16 30 25 15 29 17 17
344 346 347 348 349 350 351
141304 179297 179029 179300 179308 179405 178199
OBS TUMOR PPOPK + DM TIPE II

PROLOG
ANEMIA FEBRIS MAMAE SUSP TB ISPA DENGAN
FEVER
+DHF DEXTRA PARU ISHIALGIA
203 304 203 206 202 206 312
DR ETRA DR ETRA DR SAMUEL DR LILLY DR ENDAH DR RESITA DR BAMBANG
2/17/2020 2/16/2020 2/18/2020 2/18/2020 2/17/2020 2/18/2020 2/19/2020

2/19/2020 2/21/2020 2/20/2020 2/20/2020 2/20/2020 2/20/2020 2/20/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1
1
1
1
1
1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1
1 0 1 1 1 1 1
1 0 1 1 1 1 1
23 17 31 19 20 16 20
0 2 0 0 0 0 0
23 19 31 19 20 16 20
352 353 354 355 356 357 358 359
179208 179404 179213 179215 179139 179140 178616 171247
G2P1A0
SC PAKET G2P1A0
HAMIL 40-
DENGAN HAMIL 39 CKD ON HD
41 NCB SMK NCB SMK NCB SMK SC + KPD
POSTMATU MINGGU + ANEMIA
DDENGAN
RE KPD 12 JAM
INDUKSI
135 RB 130 RB 136 RB 130 303
DR BONA DR LILLY DR WISNU DR LILLY DR WISNU DR LILLY DR IRSAN DR ENY
18/025/2020 2/18/2020 2/14/2020 2/14/2020 2/12/2020 2/12/2020 2/2/2020 2/7/2020

2/21/2020 2/21/2020 2/16/2020 2/16/2020 2/14/2020 2/14/2020 2/4/2020 2/10/2020
1 1 1 1 1
1 1 1 1 1 1 1 0
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
27 9 30 10 30 10 30 15
0 1 0 0 0 0 0 3
27 10 30 10 30 10 30 18
360 361 362 363 364 365 366
142925 177974 179407 176763 164429 179482 179291
GANGREN DHF VERTIGO +

CKD ON HD CKD ON HD NCB SMK FEBRIS
DIGITI I GRADE I DYPEPSIA + HT
207 303 203 303 313 RB 308
DR RONY DR ENY DR ETRA DR ENY DR BAMBANG DR LILLY DR ETRA
2/19/2020 2/19/2020 2/18/2020 2/16/2020 2/17/2020 2/20/2020 2/16/2020

2/20/2020 2/21/2020 2/20/2020 2/20/2020 2/21/2020 2/23/2020 2/23/2020
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 0
1 1 1 1 1 1
1 1
1 1
1 0 1
1 1
1
1
1
1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1
1 1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
25 19 20 17 18 10 29
0 0 0 1 0 0 1
25 19 20 18 18 10 30
367 368 369 370 371 372 373
179455 179456 179493 163873 139820 179450 179481
LETAK SC
BSC 2X +
SUNGSANG NCB SMK VERTIGO SNH PROINDUK NCB SMK
KPD
+ KPD SI + KPD
130 RB 312 207 135 RB 135
DR IRSAN DR LILLY DR PARAMITA DR BAMBANG DR WISNU DR LILLY DR WISNU
2/20/2020 2/20/2020 2/20/2020 2/17/2020 2/19/2020 2/19/2020 2/20/2020

2/22/2020 2/22/2020 2/21/2020 2/22/2020 2/20/2020 2/22/2020 2/23/2020
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
30 10 17 22 27 10 30
0 0 0 0 0 0 0
30 10 17 22 27 10 30
374 375 376 377 378 379 380 381
179458 179459 179453 179454 179471 179435 179472 179558
SC KPD + GAWAT OLIGOPHY MENOMET BLIGHTED

NCB SMK NCB SMK NCB SMK
BSC JANIN DRAMINIOS RORAGHIA OVUM
130 RB 130 RB 135 204 RB VK
DR WISNU DR LILLLY DR WISNU DR LILLY DR WISNU DR ETRA DR LILLY DR IRSAN
2/20/2020 2/20/2020 2/20/2020 2/20/2020 2/20/2020 2/20/2020 2/20/2020 2/22/2020

2/22/2020 2/22/2020 2/22/2020 2/22/2020 2/22/2020 2/21/2020 2/22/2020 2/22/2020
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
30 10 30 10 30 21 10 11
0 0 0 0 0 0 0 1
30 10 30 10 30 21 10 12
382 384 385 386 387 388 389 390
146203 179492 179193 140204 179494 179513 179515 179474
G3P8A0
HAEMOROID HAMIL 20- KPD
BLIGHTED PRO SC PRO SC
DYSPEPSIA INTERNA 21 MINGGU GAWAT NCB SMK
OVUM PAKET PAKET
+ANEMIA DENGAN JANIN
KONTRAKSI
313 312 VK 130 135 138 RB 130
DR ETRA DR SAMUEL DR WISNU DR ETRA DR WISNU DR WISNU DR LILLY DR IRSAN
2/19/2020 2/20/2020 2/13/2020 2/9/2020 2/20/2020 2/21/2020 2/21/2020 2/20/2020

2/21/2020 2/22/2020 2/13/2020 2/12/2020 2/22/2020 2/22/2020 2/22/2020 2/22/2020
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 0 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 0 1 1 1 1 1
1 0 1 1 1 1 1
1 1 1 1 1 1 1
16 16 10 18 29 30 10 30
1 3 0 0 0 0 0 0
17 19 10 18 29 30 10 30
391 392 393 394 395 396 397 398
179475 179196 179490 179552 179551 179617 179618 174948
DIARE G2P1A0
DHF AKUT+ HAMIL 38 POST
DENGAN FARINGITIS MINGGU MATUR + BSC + SC
NCB SMK NCB SMK NCB SMK
DEMAM AKUT + DENGAN SUSP CPD 1X
THYPOID KONJUNGTI BSC + KPD + KPD
VITIS 6 JAM
RB 310 206 RB 130 136 RB 130
DR LILLY DR BUDI DR RESITA DR LILLY DR IRSAN DR WISNU DR LILLY DR IRSAN
2/20/2020 2/14/2020 2/20/2020 2/22/2020 2/22/2020 2/24/2020 2/24/2020 2/20/2020

2/22/2020 2/16/2020 2/23/2020 2/24/2020 2/24/2020 2/24/2020 2/24/2020 2/22/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 0 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 16 18 10 30 21 9 30
0 0 1 0 0 0 0 0
10 16 19 10 30 21 9 30
399 400 401 402 403 404 405
179452 179081 179491 179488 175604 179078 163056
STT +
DM
STT PLANULA DHF TORAX OBS
NCB SMK DHF NEOROPAT
DEXTRA GRADE I POSTENIOR FEBRIS
I
SINISTRA
RB 207 206 207 204 311 312
DR LILLY DR SAMUEL DR RESITA DR ETRA DR ETRA DR SAMUEL DR BUDI
2/20/2020 2/21/2020 2/20/2020 2/20/2020 2/21/2020 2/21/2020 2/21/2020

2/22/2020 2/23/2020 2/23/2020 2/21/2020 2/22/2020 2/23/2020 2/23/2020
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 0 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 0 1 1
9 32 18 20 19 28 16
0 0 0 0 2 0 0
9 32 18 20 21 28 16
406 407 408 409 410 411 412 413
179522 179089 179535 179560 179509 179025 179581 179582
MAMAE
APSES + DENGEU PNEUMONI THYPOID
DHF TB PARU SC + KPD NCB SMK
AXILA FEVER A FEVER
DEXTRA
305 304 202 206 204 206 130 RB
DR BUDI DR SAMUEL DR ENDAH DR RESITA DR ENDAH DR RESITA DR IRSAN DR LILLY
2/21/2020 2/21/2020 2/22/2020 2/22/2020 2/21/2020 2/10/2020 2/23/2020 2/23/2020

2/23/2020 2/23/2020 2/24/2020 2/24/2020 2/24/2020 2/13/2020 2/25/2020 2/25/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
15 28 21 17 22 16 30 10
1 0 0 0 0 1 0 0
16 28 21 17 22 17 30 10
414 415 416 417 418 419 420
178680 179575 179443 179362 179323 179330 179529
BSC 1X + DHF + TUMORMAMA

NCB SMK NCB SMK STT + INTAKE DHF
KPD SYNCOPE E DEXTRA
136 RB RB 313 205 207 207
DR IRSAN DR LILLY DR LILLY DR ETRA DR SAMUEL DR SAMUEL DR BUDI
2/23/2020 2/23/2020 2/19/2020 2/18/2020 2/23/2020 2/23/2020 2/21/2020

2/25/2020 2/25/2020 2/21/2020 2/19/2020 2/25/2020 2/25/2020 2/25/2020
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
30 10 10 16 32 32 20
0 0 0 0 0 0 1
30 10 10 16 32 32 21
421 422 423 424 425 426 427
179579 179595 179571 179270 179336 179596 155844
TUMOR
STT +
MAMAE
KISTA + TUMOR VERTIGO
NCB SMK SC + KPD DEXTRA NCB SMK
KPD MAMAE RESIFES
SUSP
SINISTRA
MALIGNA
RB 130 135 313 204 RB 305
DR LILLY DR WISNU DR WISNU DR SAMUEL DR SAMUEL DR LILLY DR PARAMITA
2/23/2020 2/24/2020 2/23/2020 2/24/2020 2/23/2020 2/24/2020 2/23/2020

2/25/2020 2/26/2020 2/25/2020 2/26/2020 2/25/2020 2/26/2020 2/25/2020
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1
1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
10 30 30 29 32 10 16
0 0 0 0 0 0 0
10 30 30 29 32 10 16
428 429 430 431 432 433 434
179572 179571 179357 178040 179743 179713 179715
KPD + SC POST PRO SC +

NCB SMK VERTIGO NCB SMK NCB SMK
KISTA MATUR KPD
RB 135 203 130 RB 130 RB
DR LILLY DR WISNU DR BAMBANG DR WISNU DR LILLY DR IRSAN DR LILLY
2/23/2020 2/23/2020 2/24/2020 2/26/2020 2/26/2020 2/26/2020 2/26/2020

2/25/2020 2/25/2020 2/28/2020 2/28/2020 2/28/2020 2/28/2020 2/28/2020
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
10 28 20 30 10 30 10
0 0 0 0 0 0 0
10 28 20 30 10 30 10
435 436 437 438 439 440
179698 179699 179723 179724 179791 179685 179776
GED +
KEJANG
SC + KPD NCB SMK SC KPD NCB SMK HIPOKALE VERTIGO
DEMAM
MI
130 RB 130 RB 312 203 206
DR IRSAN DR LILLY DR IRSAN DR LILLY DR BUDI DR BAMBANG DR RESITA
2/26/2020 2/26/2020 2/26/2020 2/26/2020 2/27/2020 2/26/2020 2/27/2020

2/28/2020 2/28/2020 2/28/2020 2/28/2020 2/28/2020 2/28/2020 2/28/2020
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 0
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 1
1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
30 10 30 10 16 21 18
0 0 0 0 0 1 1
30 10 30 10 16 22 19
179030 179080 124372 179692 179693 179591 178630 179667
SC
TUMOR AB TB PARU +
STT DYSPEPSIA DENGAN NCB SMK NCB SMK
KULIT INCOMPLIT DYSPEPSIA
KPD
207 207 207 130 RB 130 202 RB
DR SAMUEL DR SAMUEL DR ETRA DR WISNU DR LILLY DR WISNU DR ENDAH DR LILLY
2/25/2020 2/27/2020 2/24/2020 2/26/2020 2/26/2020 2/23/2020 2/3/2020 2/25/2020

2/27/2020 2/28/2020 2/27/2020 2/28/2020 2/28/2020 2/24/2020 2/6/2020 2/27/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1 1
1
1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 0 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
31 21 18 30 10 24 24 10
0 2 0 0 0 1 0 0
31 23 18 30 10 25 24 10
179666 125150 170594 177561 179424 139424 136034 178347
LIMPADENOP ULKUS ANEMIA + POLIP

SC + KPD + ANEMIA + GIANT CKD ON HD
ATI + COLLI FEMUR CKD STAGE ENDOSERV
CPD CKD ON HD TUMOR STAGE V
DEXTRA DEXTRA V IK
136 304 204 203 302 204 311 136
DR IRSAN DR ENY DR RONY DR SAMUEL DR RONY DR ENY DR ENY DR BONA
2/25/2020 2/21/2020 2/26/2020 2/25/2020 2/26/2020 2/22/2020 2/21/2020 2/21/2020

2/27/2020 2/22/2020 2/27/2020 2/27/2020 2/26/2020 2/24/2020 2/22/2020 2/22/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1
1
1
1 1 1 1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 17 24 31 22 21 18 26
0 0 0 0 0 0 0 0
30 17 24 31 22 21 18 26
179769 179795 179796 179759 179757 179737 150513 179850
SC
DHF THYPOID BACTERIAL
SC + KPD NCB SMK NCB SMK DENGAN BO
GRADE I FEVER INFECTION
KPD
206 136 RB RB 136 304 311 VK
DR LILLY DR WISNU DR LILLY DR LILLY DR WISNU DR BUDI DR BUDI DR IRSAN
2/27/2020 2/28/2020 2/28/2020 2/27/2020 2/27/2020 2/26/2020 2/26/2020 2/29/2020

2/1/2020 2/1/2020 2/1/2020 2/29/2020 2/29/2020 2/28/2020 2/28/2020 2/29/2020
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1 0 1 1 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
19 28 9 10 30 16 16 12
0 0 1 0 0 1 0 0
19 28 10 10 30 17 16 12
179079 179707 179420 149884 179587 179880 179750
KOLELITIASI TUMOR
FEBRIS
S APP AKUT MAMAE STEMI DYSPEPSIA VERTIGO
HARI KE IV
SIMTOMATIK SINISTRA
205 310 303 207 310 302 303
DR SAMUEL DR SAMUEL DR SAMUEL DR AULIA DR BUDI DR RESITA DR BAMBANG
2/28/2020 2/26/2020 2/28/2020 2/26/2020 2/28/2020 2/29/2020 2/27/2020

3/2/2020 2/29/2020 3/1/2020 3/2/2020 3/2/2020 3/3/2020 3/1/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 0
1 1 1 1
1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
32 28 28 19 17 16 17
0 0 0 0 0 0 1
32 28 28 19 17 16 18
179820 179745 179688 179600 179788 179779 179674 37876
LIMPA
PNEUMONI PPOK + TB DENOPATI + DENGUE VIRAL HIPERGLIK
FEBRIS NCB SMK
A + HHD PARU COLI FEVER INFECTION EMEA
DEXTRA
302 207 202 313 RB 305 311 204
DR LILLY DR ENDAH DR ENDAH DR SAMUEL DR LILLY DR LILLY DR BUDI DR BUDI
2/28/2020 2/27/2020 2/26/2020 2/28/2020 2/27/2020 2/27/2020 2/25/2020 2/26/2020

3/2/2020 3/2/2020 3/2/2020 3/1/2020 2/29/2020 2/29/2020 2/29/2020 2/29/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
18 18 23 7 10 18 19 20
0 0 0 0 0 0 0 0
18 18 23 7 10 18 19 20
179295 178981 179824 179854 179857 178024 179867 179869
HAMIL
CHF SC + KPD NCB SMK PRO SC NCB SMK DENGAN SC + KPD NCB SMK
LETSU
207 130 RB 130 RB 130 130 RB
DR AULIA DR IRSAN DR LILLY DR WISNU DR LILLY DR IRSAN DR WISNU DR LILLY
2/16/2020 2/28/2020 2/28/2020 2/29/2020 2/29/2020 2/29/2020 2/29/2020 2/29/2020

2/22/2020 3/2/2020 3/2/2020 3/2/2020 3/2/2020 3/2/2020 3/2/2020 3/2/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
20 30 8 30 10 30 30 10
0 0 0 0 0 0 0 0
20 30 8 30 10 30 30 10
179855 179875 179751 179679 179784 179781
DENGUE DENGUE
NCB SMK VERTIGO PNEUMONIA SC KPD
FEVER FEVER
RB 206 207 203 130 206
DR LILLY DR LILLY DR BAMBANG DR RAHMAT DR BONA DR LILLY
2/29/2020 2/29/2020 2/27/2020 2/25/2020 2/27/2020 2/27/2020

3/2/2020 3/3/2020 3/2/2020 3/3/2020 2/29/2020 3/1/2020
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1
1
1
1
1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1
1 1 1
1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
10 19 21 21 30 18
0 0 0 0 0 0
10 19 21 21 30 18
NO IDENTITAS 1 2 3
No RM 180161 179971 180036
Diagnosa ASMA AKUT PNEUMONIA PTM
Ruangan 302 305 130
DPJP DR LILY DR ENDAH DR WISNU
MRS 3/6/2020 3/2/2020 3/3/2020

KRS 3/6/2020 3/6/2020 3/4/2020
Kembali ke File

2 RM03 0 1 1
PASIEN

RMI 04 1 1 1
TATA LAKSAN PASIEN RAWAT INAP MR./RI009/V/08 1 1 1
SURAT PENYATAAN 1 1 1
EDUKASI PASIEN DAN KELUARGA 1 1

RMI 05
INTEGRASI
CATATAN PEMINDAHAN PASIEN RMI 06 1 1
RM/RJ.RI.032/I/I
FORMULIR KONSUL 1
I
PERNYATAAN
PERSETUJUAN/PENOLAKAN RMI 57 1 0
OPERASI/TINDAKAN

RMI 32 0
DAN PRODUK DARAH

PEMANTAUAN PROSEDUR
RMI 70
SEDATIF
FORMULIR PERSIAPAN PRE OPERASI RMI 39
CHECK LIST PROSEDUR

KESELAMATAN PASIEN DI KAMAR RMI 59
OPERASI
ASSESMENT PRA INDUKSI RMI 55
KARTU ANASTESI RM 36
ASESMEN PRA ANESTESI MR
INFORMASI TINDAKAN ANESTESI RM 142
SPINAL/ EPIDURAL
INFORMASI TINDAKAN ANESTESI
UMUM

RMI 62
OPERATIF
ASESMEN PRA BEDAH MR

RMI 56
OPERASI
LAPORAN PEMBEDAHAN RMI 35

DAN GINEKOLOGI

JAWAB PASIEN ) DAN MANAJER RMI 33 1
KASUS

RMI 17 1 1 1
TERINTEGRASI

RMI 11
DEWASA

INDEX)

RMI34
NORTON )
OBSERVASI MANAJEMEN NYERI RMI 53

UNTUK PASIEN DHF

PASIEN RAWAT INAP
LEMBARAN PEMANTAUAN
HEMODELISA

KEMATIAN
PARTOGRAF 1

RMI 58
INAP
PERENCANAAN PULANG
RMI 15 0 1 1
RM/RI.026/XII/1 0 1 1
SURAT PASIEN PULANG
0
RESUME PULANG PASIEN RAWAT 0 1 0

RMI 19
INAP
Terisi 12 17 13
Tidak Terisi 4 0 3
Yang Mereviaw
4 5 6 7 8 9 10 11
179978 180133 180123 180033 142341 180071 180074 180079
BSC
NCB SMK NCB SMK NCB SMK NCB SMK DENGAN BSC +KPD NCB SMK NCB SMK
KPD
RB RB RB RB 130 130 RB RB
DR LILLY DR LILLY DR LILLY DR LILLY DR WISNU DR WISNU DR RESITA DR RESITA
3/3/2020 3/6/2020 3/5/2020 3/3/2020 3/4/2020 ### 3/4/2020 3/4/2020

3/5/2020 3/8/2020 3/7/2020 3/5/2020 3/6/2020 3/6/2020 3/6/2020 3/6/2020
1 1 0
1 1 1 1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 0
10 10 10 10 30 30 9 9
0 0 0 0 0 0 2 1
10 10 10 10 30 30 11 10
12 13 14 15 16 17 18 19
178465 140489 180059 180162 180205 180132 180122 114724
KISTA SC GAWAT
BSC +KPD BSC +KPDANEMIA GEMELLI
ABORTUS INCOMPLIT BSC IX DHF
BARTOLINE JANIN
130 130 136 130 130 130 136 302
DR WISNU DR WISNU DR WISNU DR WISNU DR IRSAN DR WISNU DR WISNU DR RESITA
3/4/2020 3/3/2020 3/5/2020 3/6/2020 3/7/2020 3/6/2020 3/5/2020 3/4/2020

3/6/2020 3/5/2020 3/6/2020 3/7/2020 3/8/2020 3/8/2020 3/7/2020 3/7/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 30 17 25 28 30 30 16
0 0 1 0 0 0 0 0
30 30 18 25 28 30 30 16
20 21 22 23 24 25 26
180037 180134 180136 180169 180086 180030 127943
SC DENGAN FROZEN DENGUE

NCB SMK NCB SMK SC + KPD BSC + KPD
KPD SHOULDER FEVER
RB 135 RB 130 204 207 136
DR LILLY DR WISNU DR LILLY DR WISNU DR BAMBANG DR BUDI DR WISNU
3/3/2020 3/6/2020 3/6/2020 3/6/2020 3/4/2020 3/3/2020 3/6/2020

3/4/2020 3/8/2020 3/8/2020 3/8/2020 3/7/2020 3/9/2020 3/8/2020
1 1 1 1 1
0 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
0 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1
1 1
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
0 1 1 1 1 1 1
1 1 1 1 1 1 1
0 1 1 1 1 1 1
6 29 10 29 21 20 29
4 0 0 0 0 0 0
10 29 10 29 21 20 29
27 28 29 30 31 32 33 34
180338 165874 180067 180010 180135 179548 139130 180193
ABORTUS SC
ABORTUS LYMPHADE
INCOMMPLI +ANEMIA DHF NCB SMK LBP NCB SMK
INKOMPLIT NOPATHY
T TRANSFUSI
130 135 135 207 RB 311 204 RB
DR
DR WISNU DR WISNU DR WISNU DR BUDI DR LILLY DR SAMUEL DR RESITA
BAMBANG
3/9/2020 3/9/2020 3/4/2020 3/3/2020 3/6/2020 3/6/2020 3/4/2020 3/7/2020
3/10/2020 3/9/2020 3/5/2020 3/7/2020 3/8/2020 3/8/2020 3/7/2020 3/9/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1
0
1 1
1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
25 26 18 21 10 27 20 10
0 0 0 0 0 1 0 0
25 26 18 21 10 28 20 10
35 36 37 38 39 40 41 42
179708 180211 180078 180067 179985 166505 180170 179964
SC DENGAN SC + PRO SC + HIPERGLIKE

BSC+SC NCB SMK NCB SMK NCB SMK
KPD ANEMIA KPD MI
130 136 RB 135 RB 130 RB 307

DR
DR IRSAN DR WISNU DR RESITA DR WISNU DR LILLY DR WISNU DR LILLY
BAMBANG
3/7/2020 3/7/2020 3/4/2020 3/4/2020 3/3/2020 3/3/2020 3/6/2020 3/4/2020
3/9/2020 3/9/2020 3/9/2020 3/5/2020 3/5/2020 3/5/2020 3/8/2020 3/9/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
29 30 10 29 10 30 10 17
0 0 0 0 0 0 0 0
29 30 10 29 10 30 10 17
43 44 45 46 47 48 49 50
180252 180092 180093 180255 180254 180237 180200 179652

TUMOR
GANGREN + MAMAE
NCB SMK KPD NCB SMK NCB SMK SC KPD SC + KPD
DM TIPE III DEXTRA EC
SINISTRA
RB 130 RB RB 135 130 205 303
DR LILLY DR WISNU DR LILLY DR LILLY DR WISNU DR IRSAN DR SAMUEL DR SAMUEL
3/8/2020 3/5/2020 3/5/2020 3/8/2020 3/8/2020 3/8/2020 3/7/2020 3/9/2020

3/10/2020 3/6/2020 3/6/2020 3/10/2020 3/10/2020 3/10/2020 3/11/2020 3/12/2020
1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
0
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1
1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
10 22 7 10 30 28 31 27
0 0 3 0 0 0 0 1
10 22 10 10 30 28 31 28
51 52 53 54 55 56 57 58
179262 180401 180094 180095 180271 180339 180116 180324

LIMPADENO
PATHY COLI DENGUE DEMAM
KPD + PTM NCB SMK DYSPEPSIA DHF DYSPEPSIA
+ INGUINAL FEVER DENGUE
DEXTRA
204 204 130 RB 206 312 310 308
DR SAMUEL DR ETRA DR IRSAN DR LILLY DR LILLY DR ETRA DR ETRA DR RESITA
3/8/2020 3/10/2020 3/5/2020 3/5/2020 3/9/2020 3/9/2020 3/5/2020 3/9/2020

3/10/2020 3/13/2020 3/6/2020 3/5/2020 3/12/2020 3/12/2020 3/11/2020 3/11/2020
1 1 1 1 1 1 1
1 0 1 0 1 0 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 0
1 1
1 1
1
1
1
1 1
1 1 1 1 1 1 1 1
1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 0 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 0 1 0 1 1
30 18 20 7 20 13 17 16
0 3 1 3 0 2 1 0
30 21 21 10 20 15 18 16
59 60 61 62 63 64 65 66
144518 128763 180290 180251 168679 180208 180013 180209
DM + HIPERPIREK APPENDISITI
SC + PPT CHF BSC 1X NCB SMK NCB SMK
DYSPEPSIA SIA S AKUT
305 307 207 135 207 130 RB RB
DR ETRA DR RESITA DR SAMUEL DR WISNU DR ETRA DR IRSAN DR LILLY DR RESITA
3/10/2020 3/10/2020 3/9/2020 3/8/2020 3/6/2020 3/7/2020 3/3/2020 3/7/2020

3/13/2020 3/13/2020 3/12/2020 3/10/2020 3/9/2020 3/9/2020 3/5/2020 3/9/2020
1 1 1 1 1 1
0 1 1 1 0 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 1 1 1 1 1 1
17 15 32 28 18 29 10 10
3 1 0 0 1 0 0 0
20 16 32 28 19 29 10 10
67 68 69 70 71 72 73 74
1799979 148232 180441 180439 180394 180383 180400 180317
PARTUS SC + GAWAT
NCB SMK SC + KPD NCB SMK VERTIGO NCB SMK DHF
SPONTAN JANIN
135 130 RB 136 RB 207 RB 206

DR
DR BONA DR WISNU DR RESITA DR IRSAN DR LILLY DR LILLY DR RESITA
PARAMITA
3/10/2020 3/11/2020 3/11/2020 3/11/2020 3/10/2020 3/10/2020 3/10/2020 3/9/2020
3/11/2020 3/13/2020 3/13/2020 3/13/2020 3/11/2020 3/13/2020 3/12/2020 3/12/2020
1 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 1 1 1 1 1
16 30 9 30 10 18 10 19
3 0 1 0 0 0 0 0
19 30 10 30 10 18 10 19
75 76 77 78 79 80 81 82
180399 180343 164815 180103 178457 180280 180212 180128
CKD ON HD VOMITUS +
SC + KPD NCB SMK OLIGO DYSPEPSIA NCB SMK DYSPEPSIA
+ VOMITUS CHEPALGIA
130 RB 138 207 305 207 RB 204

DR
DR IRSAN DR LILLY DR WISNU DR ETRA DR ENY DR LILLY DR ETRA
BAMBANG
3/10/2020 3/9/2020 3/9/2020 3/5/2020 3/7/2020 3/9/2020 3/7/2020 3/5/2020
3/12/2020 3/12/2020 3/11/2020 3/6/2020 3/9/2020 3/11/2020 3/9/2020 3/9/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 0
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
29 10 30 20 17 20 10 18
0 0 0 0 0 0 0 1
29 10 30 20 17 20 10 19
83 84 85 86 87 88 89 90
159462 180296 180297 179981 180088 180072 180163 180046
GEA HIPERPIREK
DEMAM
HIPERTENSI SC + KPD NCB SMK DEHIDRASI SIA + NCB SMK NCB SMK
THYPOID
SEDANG VOMITUS
204 136 RB 310 302 RB 304 RB
DR ETRA DR IRSAN DR LILLY DR ETRA DR RESITA DR RESITA DR BUDI DR RESITA
3/8/2020 3/9/2020 3/9/2020 3/3/2020 3/4/2020 3/4/2020 3/6/2020 3/4/2020

3/9/2020 3/11/2020 3/11/2020 3/6/2020 3/9/2020 3/6/2020 3/9/2020 3/6/2020
1 1 1 1 1
0 1 1 0 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 0
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 0 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
15 29 10 14 16 10 16 10
3 0 0 4 0 0 0 0
18 29 10 18 16 10 16 10
91 92 93 94 95 96 97 98
180260 180238 180150 180259 180476 180289 180446 180220
POST
DEHIDRASI + HEMOROID
NCB SMK NCB SMK DHF MATURE + NCB SMK FEBRIS
DIARE UTERA
KPD
RB RB 302 135 204 207 RB 312
DR LILLY DR LILLY DR BUDI DR IRSAN DR RESITA DR SAMUEL DR RESITA DR RESITA
3/9/2020 3/8/2020 3/6/2020 3/9/2020 3/11/2020 3/9/2020 3/11/2020 3/7/2020

3/11/2020 3/10/2020 3/9/2020 3/11/2020 3/13/2020 3/14/2020 3/11/2020 3/11/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1
1
1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 0 1
1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 10 16 30 17 21 5 17
0 0 0 0 0 0 3 0
10 10 16 30 17 21 8 17
99 100 101 102 103 104 105 106
179863 178476 180446 180537 180539 147240 180499 145368
SC + KPD
GANGLION LBP NCB SMK NCB SMK BSC + KPD NCB SMK BSC + KPD
+PLR
203 305 RB 130 RB 130 RB 136

DR
DR SAMUEL DR RESITA DR WISNU DR LILLY DR IRSAN DR LILLY DR WISNU
BAMBANG
3/13/2020 3/11/2020 3/11/2020 3/13/2020 3/13/2020 3/12/2020 3/12/2020 3/12/2020
3/15/2020 3/14/2020 3/11/2020 3/15/2020 3/15/2020 3/14/2020 3/14/2020 3/14/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 0 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1
1 1 0 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 17 5 30 10 30 9 30
0 0 3 0 0 0 1 0
30 17 8 30 10 30 10 30
107 108 109 110 111 112 113 114
180551 180488 180489 180554 180555 130688 180519 180524
NCB SMK SC + KPD NCB SMK SC + KPD NCB SMK SC KPD NCB SMK NCB SMK
RB 130 RB 130 RB 130 RB RB
DR LILLY DR WISNU DR LILLY DR WISNU DR LILLY DR WISNU DR RESITA DR RESITA
3/13/2020 3/12/2020 3/12/2020 3/13/2020 3/13/2020 3/12/2020 3/12/2020 3/12/2020

3/15/2020 3/14/2020 3/14/2020 3/15/2020 3/15/2020 3/14/2020 3/14/2020 3/14/2020
1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 30 10 30 10 30 10 10
0 0 0 0 0 0 0 0
10 30 10 30 10 30 10 10
115 116 117 118 119 120 121 122
180482 180483 180491 180315 155316 180556 180470 180580
KELAINAN
SC + KPD NCB SMK NCB SMK SC + KPD NCB SMK HEG SC + KPD
JANTUNG
130 RB RB 305 136 RB 138 135
DR WISNU DR LILLY DR LILLY DR ETRA DR WISNU DR LILLY DR SELLA DR WISNU
3/11/2020 3/11/2020 3/12/2020 3/9/2020 3/13/2020 3/13/2020 3/11/2020 3/13/2020

3/15/2020 2/13/2020 3/14/2020 3/11/2020 3/15/2020 3/15/2020 3/14/2020 3/15/2020
1 1 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 0 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
30 10 10 16 29 10 12 29
0 0 0 1 0 0 3 0
30 10 10 17 29 10 15 29
123 124 125 126 127 128 129 130
180581 180547 180549 178859 175178 180578 145468 180576
GED + DYSPEPSIA
SC DENGAN
NCB SMK SC + KPD NCB SMK FEBRIS HIPERTENSI ANEMIA + PNEUMONI
IUFD
DM A
RB 130 RB 135 312 307 207 205
DR LILLY DR WISNU DR LILLY DR BONA DR ETRA DR BUDI DR ETRA DR ENDAH
3/13/2020 3/13/2020 3/19/2020 3/11/2020 3/7/2020 3/13/2020 3/14/2020 3/13/2020

3/15/2020 3/15/2020 3/15/2020 3/13/2020 3/12/2020 3/15/2020 3/17/2020 3/10/2020
1 1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 0 1 1
10 30 10 29 16 14 20 19
0 0 0 0 0 4 0 0
10 30 10 29 16 18 20 19
131 132 133 134 135 136 137 138
171025 165995 180561 180589 180647 179538 180623 165145
DHF GRADE GEA + DHF + HILL DENGUE

VOMITUS GEA SNH
I MIGRAN LEUKOSIT SINISTRA FEVER
206 203 203 206 205 310 205 207

DR
DR RESITA DR ETRA DR ETRA DR RESITA DR ETRA DR SAMUEL DR BUDI
BAMBANG
3/13/2020 3/12/2020 3/13/2020 3/14/2020 3/15/2020 3/13/2020 3/14/2020 3/7/2020
3/16/2020 3/16/2020 3/16/2020 3/16/2020 3/16/2020 3/15/2020 3/17/2020 3/16/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
0
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
17 22 21 17 21 27 19 21
0 0 0 0 0 2 0 0
17 22 21 17 21 29 19 21
139 140 141 142 143 144 145 146
179992 180625 180171 180674 180540 172982 180643 180520
TUMOR
DEMAM ABDOMINAL KEJANG FEBRIS + GEA +
MAMAE TB PARU THYPOID
THYPOID PAINT DEMAM DYSPEPSIA VOMITUS
DEXTRA
204 202 311 207 312 206 207 304
DR SAMUEL DR ENDAH DR RESITA DR SAMUEL DR BUDI DR RESITA DR ETRA DR ETRA
3/16/2020 3/14/2020 3/6/2020 3/16/2020 3/13/2020 3/14/2020 3/14/2020 3/12/2020

3/17/2020 3/16/2020 3/15/2020 3/17/2020 3/15/2020 3/16/2020 3/16/2020 3/16/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1 0 0 1 1 1 1
1 1 0 0 1 1 1 1
1 1 1 1 1 1 1 1
25 20 17 18 16 18 20 16
0 0 2 2 0 0 0 0
25 20 19 20 16 18 20 16
147 148 149 150 151 152 153 154
180660 180567 180463 180724 155469 180721 180484 180226
DENGUE INFEKSI PROLONGED

HIPOGLIKE
FEBRIS TB PARU D HF PARATYPOI BAKTERI + FEVER DIABETES
MIA
D DM LEKOSIFOSIS
303 202 206 205 207 205 203 204
DR ETRA DR ENDAH, DR RESITA DR ETRA DR ETRA DR ETRA DR ETRA DR ETRA,
3/15/2020 3/13/2020 3/11/2020 3/16/2020 3/16/2020 3/16/2020 3/11/2020 3/7/2020

3/18/2020 3/18/2020 3/16/2020 3/18/2020 3/18/2020 3/18/2020 3/16/2020 3/10/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
16 19 16 20 21 20 23 20
1 0 0 0 0 0 0 0
17 19 16 20 21 20 23 20
155 156 157 158 159 160 161 162
179962 180457 180673 180685 180423 180448 180240 180026

PENURUNA
N
EFUSI KESADARAN PROLONGED BACTERIAL
BO NCB SMK BSC 3X NCB SMK
PLEURA KIRI + FEVER INFECTION
HIPERGLIKE
305 MIA
203 130 RB 130 RB 309 313
DR
DR RAHMAT DR WISNU DR LILLY DR IRSAN DR LILLY DR ETRA DR ETRA
BAMBANG
3/2/2020 3/11/2020 3/16/2020 3/16/2020 3/14/2020 3/11/2020 3/8/2020 3/3/2020
3/6/2020 3/17/2020 3/16/2020 3/18/2020 3/16/2020 3/13/2020 3/12/2020 3/8/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
0 1 1 1 1
1 1 1 1
1
1
1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
19 20 25 10 30 10 18 15
0 1 0 0 0 0 0 1
19 21 25 10 30 10 18 16
163 164 165 166 167 168 169 170
180334 180633 180638 180342 178316 179061 176763 179499
DM +
CKD STAGE BSC 2X +
NCB SMK SC + KPD SC + SIFILIS DHF + ISPA CKD ON HD HIPERGLIKE
V + ANEMIA KPD
MIA +CKD
RB 135 130 205 207 207 303 130
DR LILLY DR IRSAN DR IRSAN DR ETRA DR ENY DR ENY DR ENY DR BONA
3/14/2020 3/14/2020 3/14/2020 3/9/2020 3/9/2020 3/3/2020 3/13/2020 3/13/2020

3/26/2020 3/16/2020 3/16/2020 3/13/2020 3/12/2020 3/4/2020 3/14/2020 3/15/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 30 30 20 20 21 21 31
0 0 0 0 0 0 0 0
10 30 30 20 20 21 21 31
171 172 173 174 175 176 177 178
180507 180604 180686 180639 180649 180650 180621 180620
DENGUE SC DENGAN
NCB SMK NCB SMK POST SC NCB SMK NCB SMK SC
FEVER KPD
302 RB 130 RB 130 RB RB 138
DR RESITA DR LILLY DR WISNU DR RESITA DR IRSAN DR RESITA DR LILLY DR IRSAN
3/12/2020 3/14/2020 3/16/2020 3/14/2020 3/15/2020 3/15/2020 3/14/2020 3/14/2020

3/15/2020 3/16/2020 3/18/2020 3/16/2020 3/17/2020 3/17/2020 3/16/2020 16/03/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1
17 10 30 9 30 10 10 28
0 0 0 1 0 0 0 0
17 10 30 10 30 10 10 28
179 180 181 182 183 184 185 186
180683 180688 180691 180692 180532 180727 180810 140001
PTM +
SC + GAWAT SC DENGAN
NCB SMK GAWAT NCB SMK NCB SMK SC SC + KPD
JANIN MYOPIA
JANIN
130 RB 130 RB 130 RB 130 136
DR WISNU DR LILLY DR WISNU DR LILLLY DR IRSAN DR LILLY DR IRSAN DR IRSAN
3/16/2020 3/16/2020 3/16/2020 3/16/2020 3/16/2020 3/16/2020 3/18/2020 3/18/2020

3/18/2020 3/18/2020 3/19/2020 3/19/2020 3/18/2020 3/18/2020 3/20/2020 3/20/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
28 10 28 10 32 10 29 29
0 0 0 0 0 0 0 0
28 10 28 10 32 10 29 29
187 188 189 190 191 192 193 194
180838 143434 180828 180829 180835 180836 180790 180789
NCB SMK KPD + BSC SC NCB SMK SC + KPD NCB SMK NCB SMK SC + KPD
RB 130 130 RB 136 RB RB 130
DR LILLY DR WISNU DR WISNU DR LILLY DR WISNU DR LILLY DR LILLY DR IRSAN
3/18/2020 3/18/2020 3/18/2020 3/18/2020 3/18/2020 3/18/2020 3/18/2020 3/18/2020

3/20/2020 3/20/2020 3/20/2020 3/20/2020 3/20/2020 3/20/2020 3/20/2020 3/20/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
10 30 30 10 30 10 9 30
0 0 0 0 0 0 1 0
10 30 30 10 30 10 10 30
195 196 197 198 199 200 201 202
180839 176767 179798 176806 180774 170399 180651 180853
ANEMIA +
SC + GAWAT KISTA DYSPNEU + DEMAM
NCB SMK CHEPALGIA GEA SUSPEK ACS
JANIN OVARIUM CHF THYPOID
+ VERTIGO
RB 135 130 203 203 312 306 305
DR LILLY DR WISNU DR BONA DR AULIA DR ETRA DR ETRA DR ETRA DR AULIA
3/18/2020 3/18/2020 3/13/2020 3/23/2020 3/17/2020 3/15/2020 3/15/2020 3/19/2020

3/21/2020 3/20/2020 3/15/2020 3/26/2020 3/19/2020 3/17/2020 3/17/2020 3/20/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 0
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 30 30 21 21 17 17 16
0 0 0 0 0 0 0 1
10 30 30 21 21 17 17 17
203 204 205 206 207 208 209 210
147554 175242 180652 180728 163941 180705 180769 180830
DENGUE FEBRIS + DHF GRADE AB

HERNIA FISTULA ANI GEA DHF
FEVER VOMITUS I INCOMPLIT
310 311 203 206 205 206 207 130
DR RONY DR RONY DR ETRA DR RESITA DR ETRA DR RESITA DR ETRA DR WISNU
3/17/2020 3/19/2020 3/15/2020 3/16/2020 3/18/2020 3/16/2020 3/17/2020 3/18/2020

3/20/2020 3/20/2020 3/20/2020 3/19/2020 3/19/2020 3/19/2020 3/20/2020 3/19/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
31 31 21 17 20 17 19 24
0 0 0 0 0 0 1 0
31 31 21 17 20 17 20 24
211 212 213 214 215 216 217 218
180777 180737 179975 180564 180219 179904 180531 180960
VIRAL DENGU DEMAM FEBRIS + SC + OLIGO

LOW INTAKE FISTULA DYSPEPSIA
INFECTION FEVER THYPOID VOMITUS +CPD
205 207 303 206 207 204 207 135
DR ETRA DR RONY DR ETRA DR RESITA DR ETRA DR BUDI DR BUDI DR IRSAN
3/18/2020 3/18/2020 3/3/2020 3/13/2020 3/7/2020 3/1/2020 3/13/2020 3/21/2020

3/19/2020 3/19/2020 3/8/2020 3/17/2020 3/11/2020 3/5/2020 3/15/2020 3/23/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1
1
1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
21 25 18 16 18 20 20 30
0 0 0 0 0 0 0 0
21 25 18 16 18 20 20 30
219 220 221 222 223 224 225 226
180814 180961 180990 180992 180891 180892 180818 180843
BSC 2X +
SC NCB SMK PRO PARTUS NCB SMK NCB SMK SC + KPD NCB SMK
KPD
130 RB 130 RB 130 RB 130 RB
DR IRSAN DR LILLY DR IRSAN DR LILLY DR IRSAN DR LILLY DR IRSAN DR LILLY
3/21/2020 3/21/2020 3/23/2020 3/23/2020 3/20/2020 3/20/2020 3/18/2020 3/18/2020

3/22/2020 3/23/2020 3/23/2020 3/23/2020 3/22/2020 3/22/2020 3/20/2020 3/21/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
0 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1
28 9 21 9 30 10 29 10
0 0 1 1 0 0 0 0
28 9 22 10 30 10 29 10
227 228 229 230 231 232 233 234
180903 180896 180897 180936 180942 180917 180918 180964
HAMIL 38
NCB SMK MINGGU + NCB SMK NCB SMK NCB SMK SC + KPD NCB SMK SC + KPD
PRESBO
RB 130 RB RB RB 130 RB 130
DR LILLY DR IRSAN DR LILLY DR LILLY DR LILLY DR WISNU DR LILLY DR IRSAN
3/20/2020 3/20/2020 3/20/2020 3/20/2020 3/21/2020 3/20/2020 3/20/2020 3/21/2020

3/23/2020 3/22/2020 3/22/2020 3/23/2020 3/21/2020 3/20/2020 3/23/2020 3/23/2020
1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1
10 30 10 10 7 30 10 29
0 0 0 0 3 0 0 0
10 30 10 10 10 30 10 29
235 236 237 238 239 240 241 242
180558 180895 180898 180893 180894 179797 180659 180886
AB
BO BSC + KPD NCB SMK SC + KPD NCB SMK KURET DHF
INKOMPLIT
130 130 RB 135 RB VK 135 303
DR IRSAN DR WISNU DR LILLY DR WISNU DR LILLY DR BONA DR WISNU DR RESITA
3/13/2020 3/20/2020 3/20/2020 3/20/2020 3/20/2020 3/3/2020 3/15/2020 3/19/2020

3/14/2020 3/22/2020 3/22/2020 3/22/2020 3/22/2020 3/3/2020 3/15/2020 3/22/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1
1 1
1 1 1 1 1
1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 0
23 30 10 30 10 25 23 16
0 0 0 0 0 0 0 1
23 30 10 30 10 25 23 17
243 244 245 246 247 248 249 250
180791 180831 180198 143696 180763 151259 180190 180816
DHF GRADE SUSPEK LIMPADENO

DHF STT DIARE AKUT DIARE AKUT DBD
II HEPATITIS B PATHY
310 312 207 206 204 203 207 312
DR ETRA DR ETRA DR SAMUEL DR RESITA DR ETRA DR BUDI DR SAMUEL DR ETRA
3/18/2020 3/18/2020 3/21/2020 3/19/2020 3/18/2020 3/20/2020 3/20/2020 3/18/2020

3/22/2020 3/20/2020 3/21/2020 3/22/2020 3/20/2020 3/22/2020 3/22/2020 3/20/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1
1
1
1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
18 19 25 17 17 19 30 17
0 0 0 0 0 0 0 0
18 19 25 17 17 19 30 17
251 252 253 254 255 256 257 258
147118 180770 180923 180921 180905 112007 147277 180396
OBS SUSPEK TB
CKD ON HD GEA DHF FEBRIS CKD ON HD DYSPEPSIA
VOMITUS PARU
205 205 202 305 203 302 307 305

DR
DR ENY DR ETRA DR ENDAH DR BUDI DR ETRA DR LILLY DR ETRA
BAMBANG
3/21/2020 3/19/2020 3/20/2020 3/20/2020 3/20/2020 3/15/2020 3/16/2020 3/14/2020
3/22/2020 3/20/2020 3/22/2020 3/22/2020 3/22/2020 3/21/2020 3/20/2020 3/18/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
20 21 20 19 22 17 18 16
1 0 0 0 0 0 0 0
21 21 20 19 22 17 18 16
259 260 261 262 263 264 265 266
180632 177639 180817 180799 179517 180967 180668 180745
HIPERBILIRU
TUMOR BSC + SC + ABORTUS
FEBRIS NCB SMK NCB SMK NCB SMK BINEMIA +
MAMAE KPD INKOMPLIT
FEBRIS
205 203 RB RB 130 RB RB 130
DR BUDI DR SAMUEL DR LILLY DR RESITA DR BONA DR RESITA DR RESITA DR BONA
3/14/2020 3/19/2020 3/18/2020 3/18/2020 3/20/2020 3/21/2020 3/15/2020 3/25/2020

3/17/2020 3/22/2020 3/20/2020 3/20/2020 3/23/2020 3/23/2020 3/19/2020 3/26/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1
1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 0 1 1
1 1 1 1 1 0 1 1
1 1 1 1 1 1 1 0
21 34 10 10 28 8 16 24
0 0 0 0 0 2 0 2
21 34 10 10 28 10 16 26
267 268 269 270 271 272 273 274
177845 181025 181044 181043 181023 181022 181032 181031
SC + SC + GAWAT
NCB SMK NCB SMK SC KPD NCB SMK SC + KPD NCB SMK
MYOPIA JANIN
130 RB RB 130 RB 130 RB 130
DR BONA DR LILLY DR LILLY DR WISNU, DR LILLY DR BONA DR LILLY DR IRSAN
3/24/2020 3/24/2020 3/25/2020 3/25/2020 3/24/2020 3/24/2020 3/24/2020 3/24/2020

3/26/2020 3/26/2020 3/27/2020 3/27/2020 3/26/2020 3/26/2020 3/26/2020 3/26/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 1 0 1 0 1
28 9 9 29 8 30 9 30
1 1 1 0 1 0 1 0
29 10 10 29 9 30 10 30
275 276 277 278 279 280 281 282
181046 181045 181048 181047 181081 181080 181114 180875
SC DENGAN
NCB SMK SC + KPD NCB SMK SC + PTM NCB SMK NCB SMK SC + KPD
KPD
RB 130 RB 136 RB 130 RB, 130
DR LILLY DR WISNU DR LILLY DR WISNU DR LILLY DR WISNU DR LILLY DR WISNU
3/25/2020 3/25/2020 3/25/2020 3/25/2020 3/27/2020 3/27/2020 3/28/2020 3/28/2020

3/27/2020 3/27/2020 3/27/2020 3/27/2020 3/29/2020 3/28/2020 3/29/2020 3/29/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 1 0 1 0 1
9 30 9 30 9 29 9 29
1 0 1 0 1 0 1 0
10 30 10 30 10 29 10 29
283 284 285 286 287 288 289 290
180978 180977 180986 180997 180994 180981 180980 181052
NCB SMK PTM ABORTUS NCB SMK SC + KPD NCB SMK SC + KPD NCB SMK
RB 130 130 RB 130 RB 130 RB
DR LILLY DR WISNU DR IRSAN DR LILLY DR IRSAN DR LILLY DR WISNU DR LILLY
3/22/2020 3/22/2020 3/23/2020 3/23/2020 3/23/2020 3/23/2020 3/23/2020 3/26/2020

3/24/2020 3/24/2020 3/24/2020 3/25/2020 3/25/2020 3/25/2020 3/25/2020 3/28/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 0 1 0 1 1
9 29 28 9 29 9 30 10
1 0 0 1 0 1 29 10
10 29 28 10 29 10 28 9
291 292 293 294 295 296 297 298
181051 181069 141132 180928 181042 181041 180766 180840
DHF GRADE
SC + KPD NCB SMK SC + KPD SEPSIS NCB SMK SC + PTM VOMITUS
I
136 RB 130 UGD RB 130 206 311
DR WISNU DR LILLY DR BONA DR TAUFAN DR LILLY DR WISNU DR RESITA DR RESITA
3/26/2020 3/27/2020 3/27/2020 3/21/2020 3/25/2020 3/25/2020 3/17/2020 3/18/2020

3/28/2020 3/29/2020 3/29/2020 3/21/2020 3/27/2020 3/27/2020 3/20/2020 3/23/2020
1 1 1 1 1 1
1 1 1 0 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1
1 1 1 0 0 1 1 1
1 1 1 0 1 1 1 1
1 0 0 0 0 1 1 1
30 9 29 9 8 29 17 18
29 9 28 8 8 28 16 17
28 8 27 8 7 27 15 16
299 300 301 302 303 304 305 306
180824 174561 180887 180096 180885 181020 181027 181085
DHF GRADE
CKD ON HD GEA ABORTUS THYPOID ABORTUS ABORTUS DHF
I
304 207 307 130 305 136 135 206
DR ETRA DR ENY DR ETRA DR WISNU DR ETRA DR WISNU DR BONA DR RESITA
3/18/2020 3/23/2020 3/19/2020 3/5/2020 3/19/2020 3/24/2020 3/24/2020 3/27/2020

3/23/2020 3/25/2020 3/22/2020 3/6/2020 3/25/2020 3/25/2020 3/25/2020 3/28/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
17 20 17 24 17 24 23 17
16 19 16 23 16 23 22 16
15 18 15 22 15 22 21 15
307 308 309 310
181112 181110 181070 181074 181102 181086 181129 181123
DHF GRADE
NCB SMK SC DHF DHF DHF DHF SC
II
RB 130 311 312 207 304 312 130
DR LILLY DR WISNU DR RESITA DR ETRA DR ETRA DR ETRA DR ETRA DR WISNU
3/28/2020 3/28/2020 3/27/2020 3/27/2020 3/28/2020 3/27/2020 3/29/2020 3/29/2020

3/30/2020 3/30/2020 3/29/2020 3/28/2020 3/31/2020 3/31/2020 3/30/2020 3/30/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 0 1 1 0 1 1
9 30 17 18 20 16 16 30
9 29 16 17 19 15 15 29
8 28 15 16 18 14 14 28
181124 181170 181156 181180 181179 181105 181203 181082
ANEMIA +
NCB SMK NCB SMK SC NCB SMK SC DHF DHF
HEMOROID
RB RB 130 RB 130 203 203 311
DR LILLY DR LILLY DR IRSAN DR LILLY DR IRSAN DR SAMUEL DR ETRA DR RESITA
3/29/2020 3/30/2020 3/30/2020 3/30/2020 3/30/2020 3/28/2020 3/31/2020 3/27/2020

3/31/2020 4/2/2020 4/2/2020 4/2/2020 4/2/2020 4/1/2020 4/2/2020 4/1/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 1 1 0 1
10 9 30 10 29 22 19 18
10 9 29 10 28 21 18 17
9 8 28 9 27 20 17 16
181101 181185 181098 181096 179957 18139 181087 181137
PERITANITIS
POLIP FEBRIS +
ckd on hd VERTIGO + SUSPEK BSC NCB SMK DHF
CERVIX THYPES
APENDICITIS
207 207 207 135 130 RB 311 203
DR
DR ENY DR SAMUEL DR WISNU DR WISNU DR LILLY DR RESITA DR ETRA
PARAMITA
3/28/2020 3/31/2020 3/28/2020 3/31/2020 3/30/2020 3/30/2020 3/29/2020 3/29/2020
4/1/2020 4/1/2020 4/1/2020 4/1/2020 4/1/2020 4/1/2020 4/1/2020 3/31/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1 1
1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 0 1 0
18 20 32 22 30 8 17 20
17 19 31 21 29 8 16 19
16 18 30 20 28 7 15 18
181212 181305 181302 181301 181103 181255 146025 181249
CKD ON HD
NCB SMK NCB SMK NCB SMK SC + CPD DHF GR II NCB SMK NCB SMK
+ ULKUS DM
RB RB RB 130 206 RB 303 RB
DR LILLY DR LILLY DR LILLY DR WISNU DR RESITA DR LILLY DR BETTY DR LILLY
4/1/2020 4/3/2020 4/3/2020 4/3/2020 3/28/2020 4/2/2020 3/28/2020 4/1/2020

4/3/2020 4/6/2020 4/6/2020 4/6/2020 4/2/2020 4/4/2020 4/2/2020 4/4/2020
1 1 1
0 0 0 1 1 0 0 0
1 1 1
1 1 1
0 1 0
1 1 0
1 1 1
1
0
1
1
1
0 0 0 1 0 0 0 0
0 0 0 1 0 0
1 1 1 1 1 0 1 0
1 1 1 1 1 0 1 0
0
1 1 1 1 1 0 1 1
1 1 1 1 1 0 1 1
0 0
1
0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0
0 0 0 1 0 0 0 0
4 4 4 24 12 0 11 2
4 4 4 23 11 0 10 2
4 4 4 22 10 0 10 2
137766 181290 181283 181205 181264 181307 181287 181286
HAMIL 38
SC DENGAN MINGGU
NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK
BSC 2X DENGAN
INPARTUS
130 RB RB RB RB RB RB 130
DR BONA DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY DR WISNU
4/3/2020 4/3/2020 4/2/3030 3/31/2020 4/2/2020 4/3/2020 4/2/2020 4/2/2020

4/5/2020 4/5/2020 4/5/2020 4/3/2020 4/4/2020 4/6/2020 4/3/2020 4/4/2020
1 1
0 0 0 0 0 0 0 0
1 1
1 1
1 1
1 0
0 0
0 0
1
1
1
1
1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0
1 0 0 1 1 0 0 0
1 0 0 1 1 0 0 0
0 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0
0 1 0 0 0 0 0 0
0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0
21 4 2 4 4 2 2 6
20 4 2 4 4 2 2 5
20 4 2 4 4 2 2 5
146110 181204 181200 181194 181304 181312 181303
KEJANG
BACTERIAL
SC OLIGO NCB SMK DEMAM BSC 2X NCB SMK NCB SMK
INFECTION
SEPSIS
136 RB UGD 203 130 RB RB
DR BONA DR LILLY DR SELA DR ENNY DR BONA DR LILLY DR ILLY
3/31/2020 3/31/2020 4/1/2020 3/31/2020 4/3/2020 4/4/2020 4/3/2020

4/3/2020 4/3/2020 4/1/2020 4/1/2020 4/6/2020 4/6/2020 4/6/2020
1 1 1 1
0 0 0 1 0 0 0
1 1 1 1
1 1 1 1
1 1 1 1
1 0 1 1
1 0 1 1
1 0 1
1 0 1
1 0
1 1
1 1
1 1
1 1
1 1
1 1
1 0
1 1
1 1
0 0 0 0 0 0
1 0 0 0 0 0
1 0 0 1 1 1 0
1 1 0 1 1 1 1
1 1 1
0 0
1 1 1 1 1 1
1 1 1 1 1 1
1
0 0 1 1 0 0
0 0 1 1 0 0
0 0 0 0 0 0 0
24 3 4 17 23 4 3 0
23 3 3 16 22 4 3 0
23 3 3 15 22 4 3 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
NO IDENTITAS 1 2 3
No RM 181200 181194 181304
KEJANG
BACTERIAL
Diagnosa DEMAM
INFECTION
BSC 2X
SEPSIS
Ruangan UGD 203 130
DPJP DR SELA DR ENNY DR BONA
MRS 4/1/2020 3/31/2020 4/3/2020

KRS 4/1/2020 4/1/2020 4/6/2020
Kembali ke File
2 RM03 0 1 0
PASIEN

RMI 04 1 1 1

RMI 05 0 1 1
INTEGRASI
CATATAN PEMINDAHAN PASIEN RMI 06 0 1 1
RM/RJ.RI.032/I/I
FORMULIR KONSUL
I
PERNYATAAN
PERSETUJUAN/PENOLAKAN RMI 57 0 1
OPERASI/TINDAKAN
RMI 32 0 1
DAN PRODUK DARAH
PEMANTAUAN PROSEDUR
RMI 70
SEDATIF
CHECK LIST PROSEDUR
OPERASI
SPINAL/ EPIDURAL
UMUM
RMI 62 1
OPERATIF
RMI 56 1
OPERASI
KEPERAWATAN PASIEN OBSTETRI RMI 08 0 0
DAN GINEKOLOGI
JAWAB PASIEN ) DAN MANAJER RMI 33 0 0
KASUS
CATATAN PERKEMBANGAN PASIEN 0 1 1
RMI 17
TERINTEGRASI
RMI 11 1 1
DEWASA
(BERDASARKAN PENILAIAN BARTHEL RMI 66 1
INDEX)
RMI34 1
NORTON )
MONITOR PASIEN RAWAT INAP RMI 48 1 1
KURVA HARIAN PASIEN RAWAT INAP 1 1
FORMULIR ASUHAN GIZI RM 33 1

UNTUK PASIEN DHF
PASIEN RAWAT INAP
LEMBARAN PEMANTAUAN
HEMODELISA
KEMATIAN
PARTOGRAF
RMI 58
INAP
PERENCANAAN PULANG
RMI 15 1 1
RM/RI.026/XII/1 1 1
SURAT PASIEN PULANG
0
RMI 19 0 0 0
INAP
Terisi 17 23 23
Tidak Terisi 3 16 22
Yang Mereviaw
4 5 6 7 8 9 10 11
181312 181303 181212 181305 181302 181301 181103 181255
NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK SC + CPD DHF GR II NCB SMK
RB RB RB RB RB 130 206 RB
DR LILLY DR ILLY DR LILLY DR LILLY DR LILLY DR WISNU DR RESITA DR LILLY
4/4/2020 4/3/2020 4/1/2020 4/3/2020 4/3/2020 4/3/2020 3/28/2020 4/2/2020

4/6/2020 4/6/2020 4/3/2020 4/6/2020 4/6/2020 4/6/2020 4/2/2020 4/4/2020
1 1
0 0 0 0 0 1 1 0
1 1
1 1
0 1
1 1
1 1
0
1
1
1
1
1
1
1
0 0 0 0 0 1 0 0
0 0 0 0 0 1 0
1 0 1 1 1 1 1 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 0
0
0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0
4 3 4 4 4 24 12 0
4 3 4 4 4 23 11 0
8 6 8 8 8 47 23 0
12 13 14 15 16 17 18 19
146025 181249 137766 181290 181283 181205 181264 181307
CKD ON HD SC DENGAN
NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK
+ ULKUS DM BSC 2X
303 RB 130 RB RB RB RB RB
DR BETTY DR LILLY DR BONA DR LILLY DR LILLY DR LILLY DR LILLY DR LILLY
3/28/2020 4/1/2020 4/3/2020 4/3/2020 4/2/3030 3/31/2020 4/2/2020 4/3/2020

4/2/2020 4/4/2020 4/5/2020 4/5/2020 4/5/2020 4/3/2020 4/4/2020 4/6/2020
1 1
0 0 0 0 0 0 0 0
1 1
1 1
0 1
0 1
1 1
0
1
1
1
1
1
1
0
1
0 0 1 0 0 0 0 0
0 0 0 0 0 0 0
1 0 1 0 0 1 1 0
1 0 1 0 0 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
0 0 0 1 0 0 0 0
0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0
11 2 21 4 2 4 4 2
10 2 20 4 2 4 4 2
21 4 41 8 4 8 8 4
20 21 22 23 24 25 26 27
181287 181286 146110 181204 181200 181194 181304 181312
HAMIL 38
KEJANG
MINGGU BACTERIAL
NCB SMK SC OLIGO NCB SMK DEMAM BSC 2X NCB SMK
DENGAN INFECTION
SEPSIS
INPARTUS
RB 130 136 RB UGD 203 130 RB
DR LILLY DR WISNU DR BONA DR LILLY DR SELA DR ENNY DR BONA DR LILLY
4/2/2020 4/2/2020 3/31/2020 3/31/2020 4/1/2020 3/31/2020 4/3/2020 4/4/2020

4/3/2020 4/4/2020 4/3/2020 4/3/2020 4/1/2020 4/1/2020 4/6/2020 4/6/2020
1 1 1 1 1
0 0 0 0 0 1 0 0
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
0 1 0 1 1
1 0 1 1
0 1 0 1
0 1 0 1
1 0
1 1
1 1
1 1
1 1
1 1
1 1
1 0
1 1
1 1
0 0 0 0 0 0 0
0 0 1 0 0 0 0
0 0 1 0 0 1 1 1
0 0 1 1 0 1 1 1
1 1 1
1
0 0 0
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
0
0 0 0 0 1 1 0
0 0 0 0 1 1 0
0 0 0 0 0 0 0 0
2 6 24 3 4 17 23 4
2 5 23 3 3 16 22 4
4 11 47 6 7 33 45 8
28 29 30 31 32 33 34 35
181303 181313 181211 181157 181263 181083 120924 181161
TUMOR
DEMAM
NCB SMK SC SC SC SC + PTM MAMAE BSC
DENGUE
DEXTRA
RB 130 130 136 135 203 130 302
DR LILLY DR WISNU DR WISNU DR IRSAN DR WISNU DR SAMUEL DR IRSAN DR ETRA
4/3/2020 4/4/2020 4/1/2020 4/3/2020 4/2/2020 4/1/2020 4/1/2020 3/30/2020

4/6/2020 4/6/2020 4/3/2020 4/6/2020 4/4/2020 4/4/2020 1/4/2020 4/2/2020
1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
0 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1
0 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
3 30 30 30 30 32 30 19
3 29 29 29 29 31 29 18
6 59 59 59 59 63 59 37
36 37 38 39 40 41 42 43
178946 181164 181163 122390 181306 181233 181206 181238
DENGUE SC POST AB AB AB
DHF DHF SC
FEVER MATURE INCOMPLET INCOMPLET INCOMPLET
203 312 302 136 130 130 136 136
DR ETRA DR ETRA DR ETRA DR BONA DR WISNU DR WISNU DR WISNU DR WISNU
3/30/2020 3/30/2020 3/30/2020 3/31/2020 4/3/2020 4/1/2020 3/31/2020 4/1/2020

4/3/2020 4/2/2020 4/3/2020 4/3/2020 4/6/2020 4/2/2020 4/5/2020 4/2/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1
1 1 1 1 1
1 1
1 1
1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
21 21 19 31 31 24 25 25
20 20 18 30 30 23 24 24
41 41 37 61 61 47 49 49
BI BJ
44 45 46 47 48 49 50 51
181220 181178 181282 181272 136673 181366 181072 129073
ABORTUS DHF SC HEG SC DHF SC SC
130 312 130 130 136 203 130 130
DR WISNU DR ETRA DR IRSAN DR WISNU DR WISNU DR ETRA DR BONA DR BONA
4/1/2020 3/30/2020 4/2/2020 4/2/2020 4/4/2020 4/6/2020 4/6/2020 4/7/2020

4/2/2020 4/2/2020 4/5/2020 4/5/2020 4/6/2020 4/9/2020 4/9/2020 4/10/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 0 0 0
25 19 29 16 30 20 29 29
24 18 28 15 29 19 28 28
49 37 57 31 59 39 57 57
52 53 54 55 56 57 58 59
181030 181382 181378 181363 181299 181348 181314 181414
DHF GRADE
SC NCB SMK DHF DHF DHF NCB SMK NCB SMK
II
135 RB 311 302 311 304 RB RB
DR BONA DR RESITA DR ETRA DR RESITA DR ETRA DR RESITA DR RESITA DR RESITA
4/6/2020 4/6/2020 4/7/2020 4/6/2020 4/3/2020 4/6/2020 4/4/2020 4/7/2020

4/9/2020 4/9/2020 4/9/2020 4/10/2020 4/6/2020 4/8/2020 4/10/2020 4/10/2020
1 1 1 1 1
1 0 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 0 0 0 1 1
29 7 22 18 18 18 10 10
28 7 21 17 17 17 10 10
57 14 43 35 35 35 20 20
60 61 62 63 64 65 66 67
181415 141328 169130 181381 181193 177661 180784 184339
STROKE
HILL
NCB SMK OLIGO VERTIGO NCB SMK ANAL ABSES SC HAEMORAG
SINISTRA
IK
RB 136 307 RB 303 136 206 207

DR DR
DR RESITA DR BONA DR RESITA DR SAMUEL DR WISNU DR SAMUEL
BAMBANG BAMBANG
4/7/2020 4/6/2020 4/6/2020 4/6/2020 4/6/2020 4/7/2020 4/7/2020 4/6/2020
4/10/2020 4/9/2020 4/9/2020 4/9/2020 4/9/2020 4/10/2020 4/9/2020 4/9/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 1 1 1 1 1 1
9 28 18 10 21 30 22 21
9 27 17 10 20 29 21 20
18 55 35 20 41 59 43 41
68 69 70 71 72 73 74 75
181338 181391 138397 170491 181412 181417 181416 181239
VIRAL PARTUS
NCB SMK DHF DHF NCB SMK SC PPT DHF
INFECTION SPONTAN
RB 207 312 306 130 RB 130 304
DR RESITA DR ETRA DR RESITA DR ETRA DR WISNU DR RESITA DR WISNU DR RESITA
4/5/2020 4/7/2020 4/7/2020 4/5/2020 4/7/2020 4/7/2020 4/7/2020 4/1/2020

4/8/2020 4/9/2020 4/10/2020 4/8/2020 4/7/2020 4/10/2020 4/10/2020 4/6/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
0 1
0 1
1
1
1
1
1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1 1
1 1 1 1 0 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 0 1 1 1
9 21 18 18 14 10 28 15
9 20 17 17 13 10 27 14
18 41 35 35 27 20 55 29
76 77 78 79 80 81 82 83
181254 139778 181198 162981 181119 181337 181340 181349
SC DHF DHF FEBRIS FEBRIS SC SC SC
130 206 206 307 304 136 130 136
DR IRSAN DR RESITA DR RESITA DR RESITA DR RESITA DR IRSAN DR WISNU DR IRSAN
### 4/2/2020 3/31/2020 3/29/2020 3/29/2020 4/5/2020 4/6/2020 4/6/2020

4/4/2020 4/4/2020 4/6/2020 4/5/2020 4/2/2020 4/8/2020 4/8/2020 4/8/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 18 18 17 18 30 29 30
29 17 17 16 17 29 28 29
59 35 35 33 35 59 57 59
84 85 86 87 88 89 90 91
181316 181264 181287 181307 181172 181435 180711 181411
SC NCB SMK NCB SMK NCB SMK DHF NCB SMK SC NCB SMK
136 RB RB RB 306 RB 136 RB
DR WISNU DR LILLY DR LLLY DR LILLY DR ETRA DR RESITA DR IRSAN DR RESITA
4/5/2020 4/2/2020 4/2/2020 4/3/2020 4/2/2020 4/8/2020 4/8/2020 4/7/2020

4/8/2020 4/4/2020 4/3/2020 4/6/2020 4/6/2020 4/11/2020 4/11/2020 4/11/2020
1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 0 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 0 1 0
30 10 10 9 18 8 30 9
29 10 10 9 17 8 29 9
59 20 20 18 35 16 59 18
92 93 94 95 96 97 98 99
181398 181434 133790 181465 181464 181437 181436 181432
SC NCB SMK SC NCB SMK SC NCB SMK SC NCB SMK
136 RB 130 RB 130 RB 130 RB
DR BONA DR RESITA DR WISNU DR RESITA DR WISNU DR RESITA DR WISNU DR RESITA
4/7/2020 4/8/2020 4/8/2020 4/11/2020 4/11/2020 4/8/2020 4/8/2020 4/8/2020

4/10/2020 4/11/2020 4/11/2020 4/12/2020 4/11/2020 4/11/2020 4/11/2020 4/11/2020
1 1 1 1
1 1 1 0 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 1 0 1 0 1 0
27 9 30 7 28 9 28 9
26 9 29 7 27 9 27 9
53 18 59 14 55 18 55 18
100 101 102 103 104 105 106 107
181421 181439 181438 181335 181433 179959 175721 181410
SC NCB SMK SC + LTP DHF NCB SMK SC CKD ON HD DHF
130 RB 130 302 RB 136 207 207
DR IRSAN DR RESITA DR WISNU DR RESITA DR RESITA DR WISNU DR ENY DR ETRA
4/8/2020 4/8/2020 4/8/2020 4/5/2020 4/8/2020 4/8/2020 4/9/2020 4/7/2020

4/11/2020 4/10/2020 4/11/2020 4/9/2020 4/11/2020 4/11/2020 4/10/2020 4/11/2020
1 1 1 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 0 1 0 1
30 9 29 19 9 31 19 21
29 9 28 18 9 30 18 20
59 18 57 37 18 61 37 41
108 109 110 111 112 113 114 115
181452 181410 181403 151602 181446 181093 45247 181380
DHF GRADE LIMPADENO

DHF DHF CKD ON HD DHF DYSPEPSIA DHF
II PATHY
203 207 207 207 203 307 202 304
DR ETRA DR ETRA DR ETRA DR ENY DR ETRA DR SAMUEL DR BUDI DR RESITA
4/9/2020 4/7/2020 4/7/2020 4/11/2020 4/9/2020 4/10/2020 4/11/2020 4/6/2020

4/12/2020 4/10/2020 4/10/2020 4/12/2020 4/12/2020 4/13/2020 4/14/2020 4/12/2020
1 1 1 1 1 1 1 1
1 1 1 0 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 0 0 1 1 0
19 21 21 19 21 28 21 18
18 20 20 18 20 27 20 17
37 41 41 37 41 55 41 35
116 117 118 119 120 121 122 123
181460 181459 181456 181455 181489 181473 181310 121290
VOMITUS +
NCB SMK SC NCB SMK SC NCB SMK OLIGO CKD ON HD
DYSPEPSIA
RB 136 RB 136 207 RB 130 203
DR RESITA DR BONA DR RESITA DR BONA DR ETRA DR RESITA DR IRSAN DR ENY
4/10/2020 4/10/2020 4/10/2020 4/10/2020 4/13/2020 4/12/2020 4/12/2020 4/13/2020

4/13/2020 4/13/2020 4/13/2020 4/14/2020 4/14/2020 4/15/2020 4/15/2020 4/14/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
0 0 0 0 1 1 1 0
9 29 9 28 20 10 29 18
9 28 9 27 19 10 28 17
18 57 18 55 39 20 57 35
124 125 126 127 128 129 130 131
178664 180985 154042 181509 181508 181504 181488 181506
HILL MAMAE
CKD ON HD NCB SMK SC NCB SMK SC + OLIGO NCB SMK
SINISTRA ABERANS
203 207 307 RB 130 RB 130 RB
DR ENY DR SAMUEL DR SAMUEL DR RESITA DR WISNU DR RESITA DR IRSAN DR RESITA
4/14/2020 4/12/2020 4/12/2020 4/13/2020 4/13/2020 4/13/2020 4/13/2020 4/13/2020

4/15/2020 4/15/2020 4/14/2020 4/16/2020 4/16/2020 4/16/2020 4/16/2020 4/16/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
21 31 31 10 30 10 30 10
20 30 30 10 29 10 29 10
41 61 61 20 59 20 59 20
132 133 134 135 136 137 138 139
75680 180679 158922 126208 175839 175721 181480 173726
ANEMIA +
SUSP. APP CKD STAGE
SC SC CKD STAGE CKD ON HD DBD CKD ON HD
AKUT V ON HD
V ON HD
136 130 311 207 207 207 207 203
DR BONA DR WISNU DR SAMUEL DR ENY DR ENY DR ENY DR ETRA DR ENY
4/13/2020 4/15/2020 4/13/2020 4/17/2020 4/17/2020 4/16/2020 4/13/2020 4/16/2020

4/16/2020 4/18/2020 4/17/2020 4/18/2020 4/18/2020 4/17/2020 4/16/2020 4/17/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
0 1 1 1 1 1 1 1
29 30 27 23 22 21 21 21
28 29 26 22 21 20 20 20
57 59 53 45 43 41 41 41
140 141 142 143 144 145 146 147
181527 122309 181524 181485 181594 181575 181580 181579
CKD ON HD
DHF GRADE DHF GRADE
POS DHF DHF DHF NCB SMK SC + OLIGO
I II
TRANSFUSI
206 203 206 311 207 207 RB 130
DR RESITA DR ENY DR RESITA DR ETRA DR ETRA DR ETRA DR RESITA DR WISNU
4/14/2020 4/16/2020 4/14/2020 4/13/2020 4/16/2020 4/15/2020 4/15/2020 4/15/2020

4/16/2020 4/17/2020 4/17/2020 4/17/2020 4/18/2020 4/17/2020 4/18/2020 4/18/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 0 1 1 1 1
18 21 16 16 20 20 10 30
17 20 15 15 19 19 10 29
35 41 31 31 39 39 20 59
148 149 150 151 152 153 154 155
177420 181590 181385 181497 147143 172713 181591 150420
DHF GRADE HEMOROID

CKD ON HD GEA DHF GEA DHF DHF
I INTERNA
203 312 303 303 307 303 302 206
DR ENY DR ETRA DR ETRA DR ETRA DR RESITA DR SAMUEL DR RESITA DR RESITA
4/17/2020 4/16/2020 4/7/2020 4/13/2020 4/20/2020 4/17/2020 4/16/2020 4/15/2020

4/18/2020 4/17/2020 4/10/2020 4/18/2020 4/21/2020 4/20/2020 4/20/2020 4/20/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1
23 16 17 16 15 28 16 16
22 15 16 15 14 27 15 15
45 31 33 31 29 55 31 31
156 157 158 159 160 161 162 163
181563 181595 178230 177931 181584 179520 136034 173156
ANEMIA + ANEMIA + ANEMIA + CKD ON HD

SUSPEK SNH DHF DHF SC
CKD ON HD CKD ON HD CKD ON HD + ANEMIA
203 206 312 311 311 312 311 130

DR
DR RESITA DR ENY DR ENY DR ETRA DR ENY DR ENY DR WISNU
BAMBANG
4/15/2020 4/16/2020 4/18/2020 4/18/2020 4/16/2020 4/17/2020 4/17/2020 4/17/2020
4/20/2020 4/19/2020 4/19/2020 4/19/2020 4/20/2020 4/18/2020 4/18/2020 4/20/2020
1 1 1 1 1 1 1 1
1 1 0 0 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 0 0 1 1 0 1
20 16 17 17 17 20 17 17
19 15 16 16 16 19 16 16
39 31 33 33 33 39 33 33
164
181632 181501 18 181529 144599 170453 181589 92848
PENDARAHA
DEMAM DHF GRADE DEMAM
DHF DHF BRONKISTIS DHF N POST
THYPOID I THYPOID
SIRKUMSISI
206 206 307 207 308 303 304 304
DR RESITA DR RESITA DR ETRA DR ETRA DR ETRA DR ETRA DR RESITA DR SAMUEL
4/19/2020 4/13/2020 4/13/2020 4/14/2020 4/18/2020 4/20/2020 4/16/2020 4/22/2020

4/22/2020 4/16/2020 4/15/2020 4/17/2020 4/21/2020 4/21/2020 4/21/2020 4/23/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1
1 1 1 1 1 1 1 0
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
20 17 17 21 16 16 16 17
19 16 16 20 15 15 15 16
39 33 33 41 31 31 31 33
181697 181696 181699 181698 181694 171788 180860 181689
CHOLELITHI
NCB SMK SC NCB SMK SC DHF DHF DHF
ASIS
RB 136 RB 130 206 310 311 312
DR RESITA DR WISNU DR RESITA DR WISNU DR RESITA DR RESITA DR SAMUEL DR ETRA
4/22/2020 4/22/2020 4/22/2020 4/22/2020 4/22/2020 4/20/2020 4/21/2020 4/22/2020

4/25/2020 4/25/2020 4/25/2020 4/25/2020 4/25/2020 4/23/2020 4/24/2020 4/23/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 0 1 1 1
10 30 10 30 15 16 28 17
10 29 10 29 14 15 27 16
20 59 20 59 29 31 55 33
181631 181724 181722 181723 181721 181725 181468 181747
DHF GRADE
NCB SMK SC NCB SMK SC NCB SMK SC NCB SMK
I
311 RB 136 RB 136 RB 130 RB
DR ETRA DR RESITA DR WISNU DR RESITA DR WISNU DR RESITA DR IRSAN DR RESITA
4/19/2020 4/24/2020 4/24/2020 4/24/2020 4/24/2020 4/24/2020 4/24/2020 4/26/2020

4/24/2020 4/27/2020 4/27/2020 4/24/2020 4/27/2020 4/27/2020 4/27/2020 4/29/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 0 1 0 1 1
17 9 30 8 30 9 29 10
16 9 29 8 29 9 28 10
33 18 59 16 59 18 57 20
181730 173726 171769 181775 181743 181760 181771 181799
DHF GRADE
BSC CKD ON HD DHF DHF DHF NCB SMK NCB SMK
II
136 203 206 206 206 206 RB RB
DR IRSAN DR ENY DR RESITA DR RESITA DR REISTA DR RESITA DR RESITA DR RESITA
4/26/2020 4/27/2020 4/27/2020 4/27/2020 4/26/2020 4/27/2020 4/27/2020 4/28/2020

4/29/2020 4/29/2020 4/30/2020 4/30/2020 4/30/2020 4/30/2020 4/30/2020 5/1/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 0 1 1 1 1 1 1
30 21 20 20 19 18 10 10
29 20 19 19 18 17 10 10
59 41 39 39 37 35 20 20
181798 181800 176254 162572 181797 181795 181824 181772
SUSPEK DEMAM
SC NCB SMK SC NCB SMK SC DHF
STROKE DENGUE
136 RB 136 203 RB 130 310 303

DR
DR WISNU DR RESITA DR WISNU DR RESITA DR IRSAN DR RESITA DR ETRA
PARAMITA
4/28/2020 4/28/2020 4/28/2020 4/29/2020 4/28/2020 4/28/2020 4/29/2020 4/27/2020
5/1/2020 5/1/2020 5/1/2020 4/30/2020 5/1/2020 5/1/2020 5/3/2020 4/1/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
30 10 30 21 10 33 15 17
29 10 29 20 10 32 14 16
59 20 59 41 20 65 29 33
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0
0 0 0
0 0 0
NO IDENTITAS
No RM 164920 181821 181826
DENGUE
Diagnosa FEVER
BSC NCB SMK
Ruangan 311 135 RB
DPJP DR RESITA DR WISNU DR RESITA
MRS 5/1/2020 4/29/2020 4/29/2020

KRS 5/2/2020 5/2/2020 5/2/2020
Kembali ke File
1 SURAT PERMINTAAN DIRAWAT RMI 01 1 1
2 RM03 1 1 1
PASIEN

RMI 04 1 1
TATA LAKSAN PASIEN RAWAT INAP MR./RI009/V/08 1 1

SURAT PENYATAAN 1 1
EDUKASI PASIEN DAN KELUARGA 1 1
RMI 05
INTEGRASI
CATATAN PEMINDAHAN PASIEN RMI 06 1 1
RM/RJ.RI.032/I/I
FORMULIR KONSUL
I
PERNYATAAN
PERSETUJUAN/PENOLAKAN RMI 57 1
OPERASI/TINDAKAN
RMI 32 1
DAN PRODUK DARAH
PEMANTAUAN PROSEDUR
RMI 70
SEDATIF
CHECK LIST PROSEDUR
OPERASI
SPINAL/ EPIDURAL
UMUM
ASUHAN KEPERAWATAN PERI 1
RMI 62
OPERATIF
RMI 56 1
OPERASI
DAN GINEKOLOGI
JAWAB PASIEN ) DAN MANAJER RMI 33 1 1 1
KASUS
RMI 17 1 1 1
TERINTEGRASI
RMI 11 1
DEWASA
INDEX)
RMI34
NORTON )
UNTUK PASIEN DHF
PASIEN RAWAT INAP
LEMBARAN PEMANTAUAN
HEMODELISA
KEMATIAN
PARTOGRAF
RMI 58
INAP
PERENCANAAN PULANG
RMI 15 1 1 1
RM/RI.026/XII/1 1 1 1
SURAT PASIEN PULANG
0
RMI 19 1 1 1
INAP
Terisi 16 30 10
Yang Mereviaw
181825 181772 181831 181790 181766 181803 181738 181823
DEMAM DHF GRADE GEA +

SC DHF DHF DHF NCB SMK
DENGUE II ANEMIA
130 303 304 311 303 207 304 RB
DR WISNU DR ETRA DR ETRA DR ETRA DR ETRA DR ETRA DR ETRA DR RESITA
4/29/2020 4/27/2020 4/30/2020 4/28/2020 4/27/2020 4/29/2020 4/26/2020 4/29/2020

5/2/2020 5/1/2020 5/3/2020 5/1/2020 5/1/2020 5/1/2020 5/1/2020 5/2/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
29 17 17 17 16 21 17 10
29 17 17 17 16 21 17 10
87 51 51 51 48 63 51 30
181647 181850 181666 181779 181422 164032 125150 181852
APPENDICITI ANEMIA +
SC NCB SMK SNH + CHF SC DHF DHF
S KRONIS CKD ON HD
136 RB 203 312 135 302 303 207

DR
DR WISNU DR RESITA DR SAMUEL DR IRSAN DR RESITA DR ENY DR BUDI
BAMBANG
5/1/2020 5/1/2020 5/1/2020 4/28/2020 5/1/2020 4/29/2020 4/17/2020 5/1/2020
5/4/2020 5/4/2020 5/3/2020 5/1/2020 5/4/2020 5/4/2020 4/18/2020 5/3/2020
1 1 1 1 1 1 1
1 0 1 1 1 1 0 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1
1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 9 32 13 29 19 8 20
30 9 32 13 29 19 8 20
90 27 96 39 87 57 24 60
181819 181848 181856 181884 181873 181813 181845 181881
DENGUE
DHF SC SC DHF DHF DHF DHF
FEVER
302 136 130 203 307 207 302 304
DR RESITA DR WISNU DR IRSAN DR ETRA DR BUDI DR ETRA DR RESITA DR ETRA
4/29/2020 5/1/2020 5/1/2020 5/3/2020 5/3/2020 4/29/2020 5/1/2020 5/3/2020

5/4/2020 5/4/2020 5/4/2020 5/5/2020 5/4/2020 5/5/2020 5/4/2020 5/6/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
15 30 30 23 16 20 15 17
15 30 30 23 16 20 15 17
45 90 90 69 48 60 45 51
181885 181911 181882 181890 161284 181920 181913 181916
DHF CKD ON HD DHF NCB SMK SC NCB SMK SC KET
312 207 207 RB 130 RB 130 136
DR ETRA DR ENY DR ETRA DR RESITA DR WISNU DR RESITA DR WISNU DR WISNU
5/3/2020 5/4/2020 5/3/2020 5/3/2020 5/3/2020 5/4/2020 5/4/2020 5/4/2020

5/5/2020 5/5/2020 5/7/2020 5/6/2020 5/6/2020 5/7/2020 5/7/2020 5/7/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
17 21 19 10 30 10 30 30
17 21 19 10 30 10 30 30
51 63 57 30 90 30 90 90
1
185520 181889 181887 181888 176571 181919 181543 180863
VOMITUS +
SC NCB SMK SC NCB SMK PEB NCB SMK SC HIPERGLIKE
MIA
130 RB 130 RB 130 RB 130 310
DR WISNU DR RESITA DR WISNU DR RESITA DR WISNU DR RESITA DR WISNU DR BUDI
5/4/2020 5/3/2020 5/3/2020 5/3/2020 5/3/2020 5/4/2020 5/4/2020 5/1/2020

5/7/2020 5/6/2020 5/6/2020 5/6/2020 5/6/2020 5/7/2020 5/7/2020 5/5/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 10 30 10 30 10 30 18
30 10 30 10 30 10 30 18
90 30 90 30 90 30 90 54
156341 181908 181924 181886 181909 161015 162572 181875
DHF DHF DHF DHF DHF SUSPEK SNH KEJANG DHF
203 203 203 206 206 302 203 312

DR DR
DR ETRA DR ETRA DR ETRA DR RESITA DR RESITA DR BUDI
PARAMITA BAMBANG
5/4/2020 5/4/2020 5/5/2020 5/3/2020 5/4/2020 5/5/2020 5/5/2020 5/2/2020
5/8/2020 5/8/2020 5/6/2020 5/6/2020 5/6/2020 5/7/2020 5/8/2020 5/5/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
0 0 0 1 1 1 1 1
21 21 20 18 20 17 22 17
21 21 20 18 20 17 22 17
63 63 60 54 60 51 66 51
139382 142730 125150 181494 181996 180863 181997 182053
OBS
COLIC DYSPEPNEU
GEA SC NCB SMK VOMITUS DYSPEPSA OBS FEBRIS
ABDOMEN + CKD ON
HD
311 312 310 130 RB 310 207 311
DR ETRA DR ETRA DR ENY DR WISNU DR RESITA DR BUDI DR ETRA DR ETRA
5/5/2020 5/4/2020 5/4/2020 5/7/2020 5/7/2020 5/1/2020 5/8/2020 5/10/2020

5/7/2020 5/5/2020 5/6/2020 5/10/2020 5/10/2020 5/5/2020 5/10/2020 5/12/2020
1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1
1
1 1 0 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
17 15 14 30 10 16 20 17
17 15 14 30 10 16 20 17
51 45 42 90 30 48 60 51
181916 147277 182021 181882 181781 181985 181190 182020
TUMOR
CKD ON
K.E.T NCB SMK DHF MAMAE VOMITUS CKD ON HD BSC
HD
DEXTRA
136 RB 207 203 206 311 130
DR WISNU DR RESITA DR ETRA DR SAMUEL DR RESITA DR ENY DR BONA
5/4/2020 5/9/2020 5/3/2020 5/10/2020 5/7/2020 5/8/2020 5/8/2020

5/7/2020 5/11/2020 5/7/2020 5/12/2020 5/11/2020 5/10/2020 5/11/2020
1 1 1 1 1 1
1 1 1 1 1 0 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
29 0 10 20 32 16 16 30
29 0 10 20 32 16 16 30
87 0 30 60 96 48 48 90
167663 147503 150961 182091 181717 181606 182096 182098
SC LETSU SC + KPD SC SC + KPD BSC BSC SC NCB SMK
130 130 130 136 130 130 136 RB
DR WISNU DR BONA DR BONA DR BONA DR BONA DR BONA DR WISNU DR RESITA
5/9/2020 5/11/2020 5/10/2020 5/11/2020 5/11/2020 5/11/2020 5/11/2020 5/11/2020

5/11/2020 5/14/2020 5/13/2020 5/13/2020 5/14/2020 5/24/2020 5/14/2020 5/14/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 30 30 30 30 30 30 8
30 30 30 30 30 30 30 8
90 90 90 90 90 90 90 24
165897 182100 182060 177704 182056 182090 182101 182059
SC SC SC SC NCB SMK NCB SMK NCB SMK NCB SMK
136 130 136 130 RB RB RB RB
DR IRSAN DR IRSAN DR WISNU DR WISNU DR RESITA DR RESITA DR RESITA DR RESITA
5/10/2020 5/11/2020 5/10/2020 5/10/2020 5/10/2020 5/11/2020 5/11/2020 5/10/2020

5/13/2020 5/14/2020 5/13/2020 5/13/2020 5/13/2020 5/14/2020 5/14/2020 5/13/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 30 30 30 8 8 8 8
30 30 30 30 8 8 8 8
90 90 90 90 24 24 24 24
182094 182021 182061 182058 182088 182092 172553 181995
GEA +
NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK NCB SMK CKD ON HD
VOMITUS
RB RB RB RB RB RB 207 304
DR RESITA DR RESITA DR RESITA DR RESITA DR RESITA DR RESITA DR ENY DR RESITA
5/11/2020 5/8/2020 5/10/2020 5/10/2020 5/11/2020 5/11/2020 5/13/2020 5/7/2020

5/14/2020 5/11/2020 5/13/2020 5/13/2020 5/14/2020 5/13/2020 5/14/2020 5/12/2020
1 1
1 1 1 1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
8 8 8 8 8 8 22 17
8 8 8 8 8 8 22 17
24 24 24 24 24 24 66 51
182075 182051 182050 182068 182017 182048 182084 182120
KEJANG STROKE
DHF DBD APENDIK DHF DHF DHF
DEMAM INFARK
206 302 302 206 207 206 206 203

DR
DR RESITA DR RESITA DR RESITA DR SAMUEL DR RESITA DR RESITA DR ETRA
BAMBANG
5/11/2020 5/10/2020 5/11/2020 5/11/2020 5/8/2020 5/10/2020 5/11/2020 5/12/2020
5/13/2020 5/12/2020 5/14/2020 5/14/2020 5/13/2020 5/13/2020 5/13/2020 5/14/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
19 16 16 28 20 19 19 19
19 16 16 28 20 19 19 19
57 48 48 84 60 57 57 57
182047 181861 182154 182156 182118 182152 182151 170073
DHF GR II HERNIA NCB SMK NCB SMK NCB SMK NCB SMK SC SVT
206 207 RB RB RB RB 130 303
DR RESITA DR RESITA DR RESITA DR RESITA DR RESITA DR RESITA DR WISNU DR AULIA
5/10/2020 5/12/2020 5/14/2020 5/13/2020 5/12/2020 5/14/2020 5/13/2020 5/8/2020

5/12/2020 5/14/2020 5/16/2020 5/16/2020 5/15/2020 5/16/2020 5/16/2020 5/9/2020
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
19 31 10 10 10 10 30 17
19 31 10 10 10 10 30 17
57 93 30 30 30 30 90 51
182171 182119 182175 182148 182112 181059 178406 126208
CKD ON HD CKD ON HD CKD ON HD

DHF GRADE
SUSPEK SNH NCB SMK DYSPESIA DHF + POST + POST + POST
I
TRANFUSI TRANSFUSI TRANSFUSI
203 RB 203 206 207 203 203 207

DR
DR RESITA DR ETRA DR RESITA DR ETRA DR ENY DR ENY DR ENY
PARAMITA
5/14/2020 5/12/2020 5/14/2020 5/13/2020 5/12/2020 5/15/2020 5/15/2020 5/15/2020
5/16/2020 5/15/2020 5/16/2020 5/15/2020 5/15/2020 5/16/2020 5/16/2020 5/16/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
22 10 22 19 22 23 23 23
22 10 22 19 22 23 23 23
66 30 66 57 66 69 69 69
175839 122309 182074 173103 182153 145636 182089 157903
CKD ON HD CKD ON HD
HIPERPIREK
+ POST + POST BSC SC SC DHF SC
SIA
TRANSFUSI TRANSFUSI
207 303 136 307 130 136 310 130
DR ENY DR ENY DR IRSAN DR RESITA DR WISNU DR WISNU DR ETRA DR WISNU
5/15/2020 5/14/2020 5/12/2020 5/7/2020 5/13/2020 5/14/2020 5/11/2020 5/14/2020

5/16/2020 5/15/2020 5/15/2020 5/10/2020 5/16/2020 5/17/2020 5/14/2020 5/17/2020
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
23 23 30 17 30 30 16 30
23 23 30 17 30 30 16 30
69 69 90 51 90 90 48 90
182155 143793 182212 182064 182149 182192 182185 182178
TB PARU + EFUSI
SC DHF NCB SMK DHF DHF NCB SMK
DM PLEURAL
130 311 202 202 RB 206 207 RB
DR WISNU DR RESITA DR ENDAH DR ENDAH DR RESITA DR RESITA DR ETRA DR RESITA
5/13/2020 5/3/2020 5/16/2020 5/11/2020 5/14/2020 5/15/2020 5/15/2020 5/14/2020

5/16/2020 5/5/2020 5/18/2020 5/12/2020 5/16/2020 5/17/2020 5/17/2020 5/17/2020
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1
1 1
1
1
1
1
1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
30 15 20 22 10 16 20 10
30 15 20 22 10 16 20 10
90 45 60 66 30 48 60 30
182174 176632 181996 182176 169849 182132 182193 182172
CKD + POST GAWAT

DHF NCB SMK NCB SMK SC SNH + HT DHF
TRANFUSI JANIN
203 310 RB RB 136 207 136 206

DR
DR ETRA DR ENY DR RESITA DR RESITA DR BONA DR WISNU DR RESITA
BAMBANG
5/14/2020 5/16/2020 5/7/2020 5/15/2020 5/13/2020 5/13/2020 5/15/2020 5/14/2020
5/17/2020 5/17/2020 5/10/2020 5/17/2020 5/16/2020 5/17/2020 5/18/2020 5/18/2020
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
20 19 10 10 30 20 30 16
20 19 10 10 30 20 30 16
60 57 30 30 90 60 90 48
182194 182199 182200 182099 182184 172146 181931 116739
HIPERTIROI
NCB SMK SC NCB SMK DHF CKD ON HD HEMOROID CKD ON HD
D
136 130 RB 310 302 310 306 303
DR RESITA DR WISNU DR RESITA DR ETRA DR BUDI DR ENY DR SAMUEL DR ENY
5/15/2020 5/15/2020 5/16/2020 5/11/2020 5/15/2020 5/15/2020 5/15/2020 5/15/2020

5/18/2020 5/18/2020 5/18/2020 5/15/2020 5/16/2020 5/16/2020 5/18/2020 5/16/2020
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 30 10 18 17 20 23 19
10 30 10 18 17 20 23 19
30 90 30 54 51 60 69 57
173198 182125 180563 182242 182285 182282 182010 182262
POST POST ALO CKD

DHF NCB SMK NCB SMK SC DBD
MATURE MATURE HHD
130 130 207 203 RB RB 136 206
DR BONA DR IRSAN DR BUDI DR ETRA DR RESITA DR RESITA DR BONA DR RESITA
5/12/2020 5/19/2020 5/15/2020 5/18/2020 5/20/2020 5/20/2020 5/19/2020 5/16/2020

5/15/2020 5/20/2020 5/15/2020 5/20/2020 5/22/2020 5/22/2020 5/22/2020 5/22/2020
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 0 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1
1
1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 0 1 1 1 1 1
1 1 1 1 1 1 1 1
24 24 9 19 10 10 30 16
24 24 9 19 10 10 30 16
72 72 27 57 30 30 90 48
182298 182331 182332 182330 145832 182312 181979 182313
DHF SC NCB SMK NCB SMK BSC NCB SMK SC NCB SMK
304 130 RB RB 130 RB 136 RB
DR ETRA DR WISNU DR RESITA DR RESIITA DR IRSAN DR RESITA DR IRSAN DR RESITA
5/20/2020 5/22/2020 5/23/2020 5/23/2020 5/21/2020 5/21/2020 5/21/2020 5/21/2020

5/22/2020 5/25/2020 5/25/2020 5/25/2020 5/23/2020 5/23/2020 5/24/2020 5/23/2020
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
17 30 10 10 30 10 30 10
17 30 10 10 30 10 30 10
51 90 30 30 90 30 90 30
182314 182284 182321 182311 182310 182286 182325 182139
ABDOMEN
SNH NCB SMK GEA NCB SMK LETSU NCB SMK DISCOMFOR SC
T
207 RB 206 RB 130 RB 206 130

DR
DR RESITA DR RESITA DR RESITA DR WISNU DR RESITA DR RESITA DR BONA
PARAMITA
5/21/2020 5/20/2020 5/22/2020 5/21/2020 5/21/2020 5/20/2020 5/22/2020 5/19/2020
5/23/2020 5/22/2020 5/24/2020 5/23/2020 5/23/2020 5/22/2020 5/24/2020 5/22/2020
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
20 10 17 10 30 10 21 30
20 10 17 10 30 10 21 30
60 30 51 30 90 30 63 90
178459 182333 182334 182309 182217 182206 176330 182320
DENGUE
CKD ON HD SC NCB SMK NCB SMK DHF HEMOROID CKD ON HB
FEVER
203 130 RB RB 207 305 305 206
DR ENY DR WISNU DR RESITA DR RESITA DR ETRA DR SAMUEL DR ENY DR RESITA
5/16/2020 5/22/2020 5/23/2020 5/21/2020 5/17/2020 5/19/2020 5/19/2020 5/22/2020

5/17/2020 5/23/2020 5/23/2020 5/23/2020 5/21/2020 5/22/2020 5/21/2020 5/25/2020
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
20 17 10 10 21 29 17 20
20 17 10 10 21 29 17 20
60 51 30 30 63 87 51 60
182329 182221 182130 168409 182106 182401 182406 182371
HEMANGEO
SC DHF STT CHF + ASMA NCB SMK NCB SMK NCB SMK
MA
135 304 304 304 304 RB RB RB
DR IRSAN DR RESITA DR SAMUEL DR BUDI DR SAMUEL DR RESITA DR RESITA DR RESITA
5/22/2020 5/17/2020 5/21/2020 5/24/2020 5/19/2020 5/28/2020 5/28/2020 5/26/2020

5/25/2020 5/19/2020 5/23/2020 5/26/2020 5/21/2020 5/30/2020 5/30/2020 5/29/2020
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
31 16 29 16 29 10 10 10
31 16 29 16 29 10 10 10
93 48 87 48 87 30 30 30
147497 182359 182300 182367 140547 182353 182302 182326
KEJANG DENGUE VIRAL CKD ON HD

SC NCB SMK GEA TBC
DEMAM FEVER INFECTION STAGE V
138 RB 311 202 304 305 206 203
DR IRSAN DR RESITA DR RESITA DR ENDAH DR RESITA DR ETRA DR RESITA DR ENY
5/26/2020 5/25/2020 5/20/2020 5/26/2020 5/23/2020 5/25/2020 5/21/2020 5/22/2020

5/29/2020 5/28/2020 5/22/2020 5/28/2020 5/28/2020 5/29/2020 5/25/2020 5/23/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1
1
1
1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
31 10 16 20 16 17 18 20
31 10 16 20 16 17 18 20
93 30 48 60 48 51 54 60
182364 182404 182402 173103 182363 182400 182438 182436
HIPERPIREK HIPERPIREK
NCB SMK SC SC SC NCB SMK NCB SMK
SIA SIA
RB 130 206 307 136 136 RB RB
DR RESITA DR WISNU DR RESITA DR RESITA DR BONA DR BONA DR RESITA DR RESITA
5/26/2020 5/27/2020 5/27/2020 5/7/2020 5/26/2020 5/27/2020 5/28/2020 5/29/2020

5/28/2020 5/30/2020 5/30/2020 5/10/2020 5/28/2020 5/30/2020 5/31/2020 5/31/2020
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 31 16 17 30 30 10 10
10 31 16 17 30 30 10 10
30 93 48 51 90 90 30 30
182458 182454 182358 182397 182473 135390 182454 182457
NCB SMK NCB SMK CPD + KPD DHF ASTMA BSC BSC SC
RB RB 130 206 203 136 130 130
DR RESITA DR RESITA DR BONA DR RESITA DR ENDAH DR IRSAN DR IRSAN DR WISNU
5/30/2020 5/30/2020 5/25/2020 5/27/2020 5/30/2020 5/29/2020 5/29/2020 5/29/2020

6/1/2020 6/1/2020 5/28/2020 6/1/2020 6/1/2020 6/1/2020 6/1/2020 6/1/2020
1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 0 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 10 30 16 20 31 30 31
10 10 30 16 20 0 30 31
30 30 90 32 40 31 60 62
182455 182459 182452 182456 144831 182410 182435 182129
TUMOR
SC NCB SMK NCB SMK NCB SMK SC DHF SC MAMAE
SINISTRA
135 RB RB RB 136 206 130 203
DR WISNU DR RESITA DR RESITA DR RESITA DR BONA DR RESITA DR BONA DR SAMUEL
5/23/2020 5/29/2020 5/29/2020 5/30/2020 5/29/2020 5/29/2020 5/28/2020 5/29/2020

6/1/2020 6/1/2020 6/1/2020 6/1/2020 6/1/2020 6/1/2020 5/31/2020 5/31/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
31 10 10 10 31 30 31 33
31 10 10 10 31 30 31 0
62 20 20 20 62 60 62 33
182398 182399 182006 153083 182454 182476 132596 182487
HIPERGLEKE
SC NCB SMK BSC BSC SC FEBRIS DHF
MIA
136 RB 130 136 130 203 304 206
DR WISNU DR RESITA DR IRSAN DR BONA DR IRSAN DR BUDI DR RESITA DR RESITA
5/27/2020 5/28/2020 5/28/2020 5/18/2020 5/29/2020 5/30/2020 5/28/2020 5/31/2020

5/30/2020 5/30/2020 5/31/2020 5/21/2020 5/1/2020 5/2/2020 6/2/2020 6/3/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
31 10 31 31 31 19
0 0 0 0 0 0
31 10 31 31 31 19
172911 182232 182408
DHF HILL DEXTRA FEBRIS
304 313 203
DR RESITA DR SAMUEL DR ETRA
5/28/2020 5/25/2020 5/27/2020

5/2/2020 5/31/2020 5/30/2020
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1
1
1
1
1
1
1
1 1 1
1 1 1
1 1 1
1 1 1
1
1
1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
NO IDENTITAS
No RM 182495 182485 182497
DYSPEPSIA ANEMIA ,
Diagnosa INTAKE DYSPEPSIA
PAC
Ruangan 305 207 310
DPJP DR ETRA DR ETRA DR AULIA
MRS 6/1/2020 6/1/2020 6/1/2020

KRS 6/3/2020 6/3/2020 6/3/2020
Kembali ke File
2 RM03 1 1 1
PASIEN

RMI 04 1 1 1

RMI 05 1 1 1
INTEGRASI
CATATAN PEMINDAHAN PASIEN RMI 06 1 1 1
RM/RJ.RI.032/I/I
FORMULIR KONSUL
I
PERNYATAAN
PERSETUJUAN/PENOLAKAN RMI 57
OPERASI/TINDAKAN
RMI 32
DAN PRODUK DARAH
PEMANTAUAN PROSEDUR
RMI 70 1
SEDATIF
CHECK LIST PROSEDUR

OPERASI
SPINAL/ EPIDURAL
UMUM
RMI 62
OPERATIF
RMI 56
OPERASI
DAN GINEKOLOGI
JAWAB PASIEN ) DAN MANAJER RMI 33 1 1
KASUS
RMI 17 1 1 1
TERINTEGRASI
RMI 11 1
DEWASA
(BERDASARKAN PENILAIAN BARTHEL RMI 66 1
INDEX)
RMI34 1
NORTON )
FORMULIR ASUHAN GIZI RM 33 1 1 1
UNTUK PASIEN DHF
PASIEN RAWAT INAP
LEMBARAN PEMANTAUAN
HEMODELISA
KEMATIAN
PARTOGRAF
RMI 58
INAP
PERENCANAAN PULANG
RMI 15 1 1 1
RM/RI.026/XII/1
SURAT PASIEN PULANG 1 1 1
0
RESUME PULANG PASIEN RAWAT 1 1 1
RMI 19
INAP
Terisi 17 22 16
Yang Mereviaw
182509 182504 182505 182502 182503 182499 182500 182506
BSC +
NCB SMK SC NCB SMK SC NCB SMK SC NCB SMK GAWAT
JANIN
RB 130 RB 130 RB 135 RB 130
DR RESITA DR WISNU DR RESITA DR IRSAN DR RESITA DR IRSAN DR RESITA DR WISNU
6/2/2020 6/1/2020 6/1/2020 6/1/2020 6/2/2020 6/1/2020 6/2/2020 6/1/2020

6/4/2020 6/4/2020 6/4/2020 6/4/2020 6/4/2020 6/4/2020 6/4/2020 6/4/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 31 10 31 10 31 10 31
31 10 31 10 31 8 13 10
41 41 41 41 41 39 23 41
182507 182638 182622 182621 182507 182524 182525 182590
NCB SMK PARTUS NCB SMK PARTUS NCB SMK SC NCB SMK SC
RB VK RB VK RB 130 RB 130
DR RESITA DR IRSAN DR RESITA BD UKHTI DR RESITA DR IRSAN DR RESITA DR IRSAN
6/2/2020 6/5/2020 6/5/2020 6/5/2020 6/2/2020 6/2/2020 6/2/2020 6/4/2020

6/4/2020 6/5/2020 6/5/2020 6/5/2020 6/4/2020 6/4/2020 6/4/2020 6/5/2020
1 1 1
1 1 0 1 1 1 1
1 1 1
1 1 1
1 1 1
1 1 1
1 1 1 1
1 1
1 1
1
1 1
1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 0 1 1 1 1
8 13 10 13 10 31 10 16
13 10 31 10 16 10 10 10
21 23 41 23 26 41 20 26
182591 182534 182573 172574 182466 182532 163383 182570
VERTIGO +
RB NCB SMK NCB SMK SC HILL DEXTRA DHF DHF
VOMITUS
RB RB RB 130 304 311 310 310

DR
DR RESITA DR RESITA DR RESITA DR WISNU DR SAMUEL DR ETRA DR ETRA
BAMBANG
6/4/2020 6/2/2020 6/3/2020 6/3/2020 6/2/2020 6/2/2020 6/2/2020 6/3/2020
6/5/2020 6/5/2020 6/6/2020 6/6/2020 6/4/2020 6/4/2020 6/4/2020 6/5/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 10 10 31 28 18 18 17
31 28 18 18 17 10 30 30
41 38 28 49 45 28 48 47
182616 182533 182530 182531 181917 182573 182635 182592
NCB SMK SC SC NCB SMK SC NCB SMK SC SC + KPD
RB 136 130 RB 136 RB 130 130
DR RESITA DR WISNU DR WISNU DR RESITA DR WISNU DR RESITA DR WISNU DR WISNU
6/5/2020 6/2/2020 6/2/2020 6/3/2020 6/3/2020 6/3/2020 6/5/2020 6/4/2020

6/7/2020 6/5/2020 6/4/2020 6/5/2020 6/6/2020 6/6/2020 6/7/2020 6/6/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 30 30 10 30 10 30 30
10 30 10 30 30 10 30 30
20 60 40 40 60 20 60 60
182610 182296 182596 182614 182593 182136 182615 182538
SC DG LTAK
NCB SMK SC SC + KPD NCB SMK NCB SMK SC = KPD FEBRIS
LINTANG
RB 136 130 RB RB 130 130 206
DR RESITA DR WISNU DR BONA DR RESITA DR RESITA DR IRSAN DR WISNU DR RESITA
6/5/2020 6/4/2020 6/4/2020 6/5/2020 6/4/2020 6/4/2020 6/4/2020 6/2/2020

6/7/2020 6/7/2020 6/7/2020 6/7/2020 6/7/2020 6/7/2020 6/7/2020 6/6/2020
1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 30 30 10 10 30 30 18
10 10 30 30 18 17 19 30
20 40 60 40 28 47 49 48
182634 153874 182642 182606 182541 182587 182643 182657
DHF DYSPNEU SC CKD ON HD PENKES SNH GEA NCB SMK SC
206 207 130 207 HCU 304 RB 136

DR
DR RESITA DR ETRA DR WISNU DR ENY DR ETRA DR RESITA DR WISNU
BAMBANG
6/5/2020 6/4/2020 6/5/2020 6/4/2020 6/3/2020 6/4/2020 6/6/2020 6/7/2020
6/7/2020 6/6/2020 6/8/2020 6/6/2020 6/7/2020 6/6/2020 6/8/2020 6/8/2020
1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1 1 1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1
1 1 1
1 1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1
1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
17 19 30 21 21 16 10 29
21 21 16 10 29 10 10 16
38 40 46 31 50 26 20 45
182640 182661 182656 131776 182633 182641 154652 182390
GEA +
NCB SMK NCB SMK DM + HT NCB SMK NCB SMK SC SC
FEBRIS
RB RB VIP B 307 203 RB RB 130 136

DR
DR RESITA DR RESITA DR ETRA DR RESITA DR RESITA DR IRSAN DR IRSAN
BAMBANG
6/6/2020 6/7/2020 6/7/2020 6/3/2020 6/5/2020 6/6/2020 6/5/2020 6/5/2020
6/8/2020 6/9/2020 6/9/2020 6/7/2020 6/7/2020 6/8/2020 6/8/2020 6/8/2020
1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1 1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1
1
1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
1 1 1 1 1 1 1 1
10 10 16 19 10 10 30 30
19 10 10 30 30 0 0 0
29 20 26 49 40 10 30 30
NO IDENTITAS
No RM
Diagnosa
Ruangan
DPJP
MRS
KRS
Kembali ke File
1 SURAT PERMINTAAN DIRAWAT RMI 01
2 RM03
PASIEN

RMI 04
TATA LAKSAN PASIEN RAWAT INAP MR./RI009/V/08
SURAT PENYATAAN
RMI 05
INTEGRASI
CATATAN PEMINDAHAN PASIEN RMI 06
RM/RJ.RI.032/I/I
FORMULIR KONSUL
I
PERNYATAAN
OPERASI/TINDAKAN
RMI 32
DAN PRODUK DARAH
PEMANTAUAN PROSEDUR
RMI 70
SEDATIF
CHECK LIST PROSEDUR

OPERASI
SPINAL/ EPIDURAL
UMUM
RMI 62
OPERATIF
RMI 56
OPERASI
KEPERAWATAN PASIEN OBSTETRI RMI 08
DAN GINEKOLOGI
JAWAB PASIEN ) DAN MANAJER RMI 33
KASUS
RMI 17
TERINTEGRASI
CATATAN HARIAN PERAWAT RMI 16
RMI 11
DEWASA
INDEX)
RMI34
NORTON )
MONITOR PASIEN RAWAT INAP RMI 48
KURVA HARIAN PASIEN RAWAT INAP

UNTUK PASIEN DHF
PASIEN RAWAT INAP
LEMBARAN PEMANTAUAN
HEMODELISA
KEMATIAN
PARTOGRAF
RMI 58
INAP
PERENCANAAN PULANG
RMI 15
RM/RI.026/XII/1
SURAT PASIEN PULANG
0
RMI 19
INAP
Terisi
Tidak Terisi
Kelengkapan (prosentase)
Yang Mereviaw
NO IDENTITAS
No RM
Diagnosa
Ruangan
DPJP
MRS
KRS
Kembali ke File
1 SURAT PERMINTAAN DIRAWAT RMI 01
2 RM03
PASIEN

RMI 04
TATA LAKSAN PASIEN RAWAT INAP MR./RI009/V/08
SURAT PENYATAAN
RMI 05
INTEGRASI
CATATAN PEMINDAHAN PASIEN RMI 06
RM/RJ.RI.032/I/I
FORMULIR KONSUL
I
PERNYATAAN
OPERASI/TINDAKAN
RMI 32
DAN PRODUK DARAH
PEMANTAUAN PROSEDUR
RMI 70
SEDATIF
CHECK LIST PROSEDUR

OPERASI
SPINAL/ EPIDURAL
UMUM
RMI 62
OPERATIF
RMI 56
OPERASI
KEPERAWATAN PASIEN OBSTETRI RMI 08
DAN GINEKOLOGI
JAWAB PASIEN ) DAN MANAJER RMI 33
KASUS
RMI 17
TERINTEGRASI
CATATAN HARIAN PERAWAT RMI 16
RMI 11
DEWASA
INDEX)
RMI34
NORTON )
MONITOR PASIEN RAWAT INAP RMI 48
KURVA HARIAN PASIEN RAWAT INAP

UNTUK PASIEN DHF
PASIEN RAWAT INAP
LEMBARAN PEMANTAUAN
HEMODELISA
KEMATIAN
PARTOGRAF
RMI 58
INAP
PERENCANAAN PULANG
RMI 15
RM/RI.026/XII/1
SURAT PASIEN PULANG
0
RMI 19
INAP
Terisi
Tidak Terisi
Kelengkapan (prosentase)
Yang Mereviaw
NO IDENTITAS No RM Diagnosa Ruangan DPJP
MRS KRS Kembali ke File NO JENIS FORMULIR 1 SURAT PERMINTAAN DIRAWAT
2 RINGKASAN MASUK DAN KELUAR PASIEN FORMULIR PEMBERIAN INFORMASI DAN TATA LAKSAN PASIEN RAWAT INAP SURAT PENYATAAN EDUKASI PASIEN DAN KELUARGA INTEGRASI
PERSETUJUAN UMUM ( GENERAL CONSENT ) UNTUK
CATATAN PEMINDAHAN PASIEN FORMULIR KONSUL PEMBERIAN INFORMASI DAN PERNYATAAN PERSETUJUAN TRANSFUSI DARAH DAN PRODUK PERSETUJUAN TINDAKAN DAN PROSEDUR RESIKO
PERSETUJUAN/PENOLAKAN OPERASI/TINDAKAN DARAH TINGGI
PEMANTAUAN PROSEDUR PEMBERIAN TRANSFUSI PERSETUJUAN ANESTESI DAN SEDATIF FORMULIR PERSIAPAN PRE OPERASI CHECK LIST PROSEDUR KESELAMATAN PASIEN DI ASSESMENT PRA INDUKSI
DARAH KAMAR OPERASI
KARTU ANASTESI ASESMEN PRA ANESTESI DOKUMENTASI PEMBERIAN INFORMASI TINDAKAN DOKUMENTASI PEMBERIAN INFORMASI TINDAKAN ASUHAN KEPERAWATAN PERI OPERATIF
ANESTESI SPINAL/ EPIDURAL ANESTESI UMUM
ASESMEN PRA BEDAH FORMULIR PENANDAAN LOKASI OPERASI LAPORAN PEMBEDAHAN PENGKAJIAN AWAL MEDIS DAN KEPERAWATAN PENGKAJIAN PASIEN TERMINAL
PASIEN OBSTETRI DAN GINEKOLOGI
DPJP ( DOKTER PENANGGUNG JAWAB PASIEN ) DAN CATATAN PERKEMBANGAN PASIEN TERINTEGRASI CATATAN HARIAN PERAWAT PENGKAJIAN RESIKO JATUH DEWASA PENILAIAN STATUS FUNGSIONAL (BERDASARKAN
MANAJER KASUS PENILAIAN BARTHEL INDEX)
SKOR NORTON (PERHITUNGAN SKOR NORTON ) OBSERVASI MANAJEMEN NYERI MONITOR PASIEN RAWAT INAP KURVA HARIAN PASIEN RAWAT INAP FORMULIR ASUHAN GIZI
FORMULIR ASUHAN KEFARMASIAN DAFTAR HASIL LABORATURIUM UNTUK PASIEN DHF LEMBARAN OBSERVASI PASIEN TINDAKAN RUJUKAN EKSTERNAL KUESIONER KEPUASAN PELANGGAN PASIEN RAWAT
PEMBEDAHAN DENGAN MENGUNAKAN LOKAL INAP
ANASTESI
LEMBARAN PEMANTAUAN HEMODELISA SERTIFIKAT MEDIS PENYEBAB KEMATIAN PARTOGRAF PENOLAKAN PELAYANAN RAWAT INAP PERENCANAAN PULANG ( DISCHARGE
PLANNING )
SURAT PASIEN PULANG RESUME PULANG PASIEN RAWAT INAP Terisi Tidak Terisi
Kelengkapan (prosentase) Kembali ke Ruang File 2 x 24 jam Yang Mereviaw

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NO IDENTITAS 1 2 3

No RM 177164 177165 174926

Ruangan 130 RB 207

DPJP DR IRSAN DR LILLY DR ETRA

MRS 1/1/2020 1/1/2020 1/2/2020

1 SURAT PERMINTAAN DIRAWAT RMI 01 1 1

RINGKASAN MASUK DAN KELUAR

FORMULIR PEMBERIAN INFORMASI

EDUKASI PASIEN DAN KELUARGA

7 CATATAN PEMINDAHAN PASIEN RMI 06 1 1

PEMBERIAN INFORMASI DAN

PERSETUJUAN TRANSFUSI DARAH

PERSETUJUAN TINDAKAN DAN

PERSETUJUAN ANESTESI DAN

14 FORMULIR PERSIAPAN PRE OPERASI RMI 39 1

CHECK LIST PROSEDUR

ASUHAN KEPERAWATAN PERI

22 ASESMEN PRA BEDAH MR 1

FORMULIR PENANDAAN LOKASI

24 LAPORAN PEMBEDAHAN RMI 35 1

PENGKAJIAN AWAL MEDIS DAN

26 PENGKAJIAN PASIEN TERMINAL

DPJP ( DOKTER PENANGGUNG

CATATAN PERKEMBANGAN PASIEN

29 CATATAN HARIAN PERAWAT RMI 16 1 1

PENGKAJIAN RESIKO JATUH

PENILAIAN STATUS FUNGSIONAL

SKOR NORTON (PERHITUNGAN SKOR

34 MONITOR PASIEN RAWAT INAP RMI 48 1 1 1

35 KURVA HARIAN PASIEN RAWAT INAP 1 1 1

36 FORMULIR ASUHAN GIZI RM 33

37 FORMULIR ASUHAN KEFARMASIAN 1

DAFTAR HASIL LABORATURIUM

LEMBARAN OBSERVASI PASIEN

40 RUJUKAN EKSTERNAL RMI 18

KUESIONER KEPUASAN PELANGGAN

SERTIFIKAT MEDIS PENYEBAB

PENOLAKAN PELAYANAN RAWAT

RB RB RB 130 136 130 RB 135

DR LILLY DR LILLY DR LILLY DR IRSAN DR IRSAN DR IRSAN DR LILLY DR IRSAN

1/2/2020 1/2/2020 1/3/2020 1/2/2020 1/3/2020 1/4/2020 1/3/2020 1/2/2020

130 RB 130 RB 135 130 313 203

304 305 203 302 206 305 303 130

DR ETRA DR ETRA DR ETRA DR LILLY DR SAMOEL DR ETRA DR SAMOEL DR IRSAN

1/2/2020 1/2/2020 1/3/2020 1/3/2020 1/3/2020 1/4/2020 1/3/2020 1/1/2020

130 RB 130 311 202 207 RB RB

DR IRSAN DR LILLY DR WISNU DR I MADE DR ETRA DR AULIA DR LILLY DR LILLY

1/7/2020 1/6/2020 1/6/2020 1/6/2020 1/1/2020 1/3/2020 1/2/2020 1/6/2020

RB 130 130 203 206 130 130 130

207 206 207 RB 135 206 207 130

203 RB 130 130 312 RB 136 RB

307 203 RB 130 130 206 303 RB

135 207 136 203 207 136 RB 138

203 RB 130 136 207 135 304 RB

DR ENDAH DR LILLY DR BONA DR WISNU DR ETRA DR WISNU DR ENY DR LILLY

1/3/2020 1/8/2020 1/4/2020 1/6/2020 1/8/2020 1/6/2020 1/2/2020 1/7/2020

312 RB 302 305 311 303 135 RB

DR ETRA DR LILLY DR LILLY DR ETRA DR ETRA DR ETRA DR WISNU DR LILLY

1/7/2020 1/6/2020 1/4/2020 1/8/2020 1/9/2020 1/6/2020 1/8/2020 1/4/2020

RB 207 RB 304 313 203 130 RB

RB RB 313 130 303 303 136 RB

DR LILLY DR LILLY DR ETRA DR BONA DR ENDAH DR ETRA DR WISNU DR LILLY

1/8/2020 1/11/2020 1/9/2020 1/8/2020 1/8/2020 1/11/2020 1/6/2020 1/12/2020